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王谏珠,乐小红,李代必.家庭医生签约服务在社区慢性病管理中的相关探讨[J].中国医药科学,2019,(16):239-242        基金项目:广东省东莞市社会科技发展(一般)项目 (2018507150941195)
家庭医生签约服务在社区慢性病管理中的相关探讨
Related exploration on family doctor contract service in the management of chronic diseases in communities
  
DOI:
中文关键词:  社区慢性病;家庭医生;签约服务;复诊率
英文关键词:Chronic disease in communities;Family doctor;Contract service;Return visit rate
作者单位
王谏珠,乐小红,李代必 广东省东莞市南城社区卫生服务中心全科,广东东莞 523000 
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中文摘要:
      [摘要] 目的 探讨在社区慢性病管理中应用家庭医生签约服务的效果。 方法 随机抽取我社区问诊的慢性病患者 400 例,根据其是否意愿签约家庭医生服务模式分成对照组、研究组,其中对照组 198 例患者选择常规诊疗服务,而研究组 202 例患者在此基础上应用家庭医生签约服务,观察比较两组慢性病患者病情恢复情况。 结果 经干预后,研究组患者的治疗总有效率高于对照组,差异有统计学意义(P < 0.05);研究组患者经家庭医生签约服务后,其复诊率、管理依从性及患者对医疗服务满意度均高于对照组,差异有统计学意义(P < 0.05)。 结论 在社区慢性病管理中应用家庭医生签约服务模式,可有效地改善慢性病患者的相关指标情况,并提高患者对自我管理的能力,可进一步提高社区医疗服务质量。
英文摘要:
      [Abstract] Objective To explore the effects of applying family doctor contract services in the management of chronic diseases in communities. Methods 400 patients with chronic diseases who were treated in our community were randomly selected.According to their willingness to sign a family doctor service model,they were divided into the control group and the research group.198 patients in the control group chose routine medical services while 202 patients in the research group were given family doctor contract services on basis of the control group.The recovery of patients with chronic diseases in two groups were observed and compared. Results After intervention,the total effective rate of the treatment in the research group was higher than that of the control group,and the difference between the groups was statistically significant (P < 0.05).After family doctor contract services,the return visit rate, management compliance and satisfaction with medical services of patients in the research group were all higher than those in the control group.The difference was statistically significant (P < 0.05). Conclusion The application of the family doctor contract service model in the management of chronic diseases in communities can effectively improve the relevant indexes of patients with chronic diseases and improve their ability to self-manage,which can further improve the quality of community medical services.
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