家庭医生签约高血压患者健康管理服务成本效果分析
发布时间：2018-09-14 18:54
【摘要】：目的分析家庭医生签约高血压患者健康管理服务的成本和效果。方法选取2012—2014年上海市天目西路社区卫生服务中心家庭医生签约高血压患者及公共卫生人员管理高血压患者,调查家庭医生次均门诊医疗服务人力成本、家庭医生门诊高血压健康管理服务人力成本、公共卫生人员服务人力总成本、家庭医生与公共卫生人员高血压健康管理模式成本-效果分析。结果 2012—2014年家庭医生高血压接受规范管理比例及血压控制达标率均高于公共卫生人员。2012—2014年家庭医生门诊高血压健康管理平均每有效控制血压一人的平均成本分别为1.06、1.59、1.53元;公共卫生人员分别为28.19、35.34、44.57元;每有效控制血压一人的平均成本前者比后者分别节省27.13、33.75、43.04元。结论家庭医生签约高血压患者实施健康管理是一种低成本高效果的慢病管理模式。
[Abstract]:Objective to analyze the cost and effect of health management services for hypertensive patients contracted by family doctors. Methods Family doctors of community health service center of Tianmu Xilu in Shanghai from 2012 to 2014 were selected to contract hypertension patients and public health workers to manage hypertension patients. The cost of hypertension health management service in outpatient clinic of family doctors, the total cost of public health personnel, and the cost-effect analysis of family doctor and public health personnel hypertension health management model. Results in 2012-2014, the proportion of family doctors accepting standard management of hypertension and the rate of meeting the standard of blood pressure control were higher than those of public health workers. The average health management of hypertension in outpatient clinics of family doctors in 2012-2014 was higher than that of one person who effectively controlled blood pressure. The cost was 1.06%, 1.59% and 1.53 yuan respectively. The average cost of each person with effective blood pressure control was 27.1333.75,43.04 yuan less than that of the latter. Conclusion the health management of hypertensive patients contracted by family doctors is a low-cost and high-effect chronic disease management model.
【作者单位】： 上海市静安区天目西路街道社区卫生服务中心;
【分类号】：R544.1
本文编号：2243580
[Abstract]:Objective to analyze the cost and effect of health management services for hypertensive patients contracted by family doctors. Methods Family doctors of community health service center of Tianmu Xilu in Shanghai from 2012 to 2014 were selected to contract hypertension patients and public health workers to manage hypertension patients. The cost of hypertension health management service in outpatient clinic of family doctors, the total cost of public health personnel, and the cost-effect analysis of family doctor and public health personnel hypertension health management model. Results in 2012-2014, the proportion of family doctors accepting standard management of hypertension and the rate of meeting the standard of blood pressure control were higher than those of public health workers. The average health management of hypertension in outpatient clinics of family doctors in 2012-2014 was higher than that of one person who effectively controlled blood pressure. The cost was 1.06%, 1.59% and 1.53 yuan respectively. The average cost of each person with effective blood pressure control was 27.1333.75,43.04 yuan less than that of the latter. Conclusion the health management of hypertensive patients contracted by family doctors is a low-cost and high-effect chronic disease management model.
【作者单位】： 上海市静安区天目西路街道社区卫生服务中心;
【分类号】：R544.1
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