重庆市社区卫生服务机构老年人口慢性病管理研究

发布时间：2018-02-25 20:13

  本文关键词： 社区卫生服务 慢性病管理 老年人口　出处：《重庆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的本研究通过梳理老年人口慢性病社区管理相关理论,总结分析国内外相关经验,以重庆市为实证调研对象,对重庆市社区卫生服务机构管理老年慢性病患者的现状进行定量与定性研究。通过综合分析社区卫生服务机构人力资源、卫生服务效率以及量表数据,研究重庆市社区老年人口慢性病防控管理的可行性及策略,为社区老年慢性病管理的相关研究提供理论与实践参考依据。资料来源通过检索数据库,查阅相关书刊资料,检索搜索引擎等方式收集社区老年人口慢性病管理的相关文献、研究报告及信息,并收集政府卫生、财政、民政、统计等部委官方网站相关法律法规、政策文件、年度报表等统计数据和资料。通过自行设计的调查量表对各样本区进行调研获取实证资料。调研组共计发放700份调查问卷,最终回收675份有效问卷。研究方法采用文献研究法、问卷调查法、德尔菲法、统计分析法等。研究结果重庆市共有12个区县成功创建为国家级的慢性病防控示范区,在慢性病防控管理方面有一定成效,开展了家庭医生签约服务,将慢性病管理纳入各区县的年度社会事业发展规划中,对居民进行健康教育。但在过程中也存在一些的问题:(1)慢性病防控专项经费不足,筹资渠道单一;(2)社区卫生人力资源配置不合理,技术水平参差不齐;(3)部门之间缺乏合作,防控体系不完善;(4)信息系统建设滞后,不利于慢性病防控管理信息的共享。对策建议(1)政府应制定有效的慢性病管理政策,建立规范的管理体系,调整财政支出结构,加大对社区老年人口慢性病管理的经费投入。(2)加强慢性病管理相关部门的合作,与科研机构保持合作关系,促进科研成果转化为实际成果,社区应重点关注重庆市慢性病管理薄弱的老年人群。(3)创建健康的生活环境,提倡健康的生活方式,加强老年慢性病患者的自我管理意识。
[Abstract]:This study by reviewing the theory of elderly population of chronic diseases in community management, summarize relevant experience at home and abroad, taking Chongqing city as the object of empirical research, quantitative and qualitative research on the status quo of management of the elderly in Chongqing community health service institutions for chronic diseases. Through the human resources comprehensive analysis of community health services, health services and efficiency the amount of data, the feasibility and strategy of Chongqing city community elderly population of chronic disease prevention and control and management research, provides a theoretical and practical reference for related research management of senile chronic diseases. The data sources through searching the database, access to relevant books, literature retrieval search engine to collect the elderly population in the community chronic disease management, research report and information, and the collection of government health, civil affairs, finance, statistics and other ministries official website of the relevant laws and regulations, policy paper Annual report, statistics and data. Through the questionnaire designed by the research on the table the sample area to obtain empirical data. The research group issued a total of 700 questionnaires, 675 valid questionnaires. The final research method adopts the literature research method, questionnaire survey method, Del Faye method, statistical analysis and other research. Results a total of 12 Chongqing counties successfully created a national chronic disease prevention and control demonstration area, is effective in the prevention and control of chronic disease management, carry out the family doctor service, the management of chronic diseases included in the planning and development of social undertakings in the districts of the year, to carry out health education for residents. But there are also some of the the problems in the process: (1) chronic disease prevention and control of special funds, financing channels; (2) the community health human resource allocation is not reasonable, technical level is uneven; (3) the lack of cooperation between departments, prevention and control system Perfect; (4) the lag of information system construction, information sharing is not conducive to the management of chronic disease prevention and control countermeasures. (1) the government should formulate effective policies for chronic disease management, establish a standardized management system, adjust the structure of financial expenditure, increase investment in the management of chronic diseases in community elderly population funds. (2) to strengthen chronic disease the management departments and maintain cooperative relations with scientific research institutions, scientific research achievements into practical results, the community should focus on the elderly people in Chongqing chronic disease management is weak. (3) to create a healthy living environment, advocate healthy lifestyle, strengthen the elderly patients with chronic disease self management awareness.

【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R197.61
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本文编号：1534996