摘要
目的探讨分级诊疗对社区的慢性病优化管理的效果。方法以2014年1月—2015年1月在某社区医院进行常规诊疗的糖尿病患者1598例,作为对照组;以2015年1月—2016年1月在该社区医院进行糖尿病治疗的所有患者2145例作为试验组,此阶段实行分级诊疗。对所有病患的资料进行回顾性分析。比较两组病患治疗效果、各社区医院合作情况、患者对诊治的总体满意度等。结果对照组病患的治疗效果显著、有效、一般、无效,分别为:21.71%、33.47%、16.90%、27.91%,总体有效率为72.09%;试验组病患的治疗效果显著、有效、一般、无效,分别为:45.69%、30.82%、12.07%、11.42%,总体有效率为88.58%。在实行分级诊疗前,社区医院合作率不高,实行分级诊疗后,社区医院紧密合作。对照组患者对治疗很满意、满意、一般、不满意分别为21.90%、29.22%、20.90%、27.97%,总体满意度为72.03%;试验组的患者对治疗很满意、满意、一般、不满意分别为47.09%、30.58%、15.38%、6.93%,病患对治疗的总体满意度为93.05%。组间差异有统计学意义(P<0.05)。结论对慢性疾病使用分级诊疗可以推动社区的合作,从而提高了区域内医疗资源的利用率,加强医疗资源的合理分配,同时提高患者的治疗效果和病患的治疗的满意度,并且可以增加患者在社区医院治疗的人数。
Objective To optimize and manage the chronic diseases in community and analyze the effect of the grading diagnosis and treatment on it. Methods 1589 cases of patients with diabetes in some community from January 2014 to January 2015 were selected as the control group, and adopted the routine diagnosis and treatment, 2145 cases of patients with diabetes in some community hospital from January 2015 to January 2016 were selected as the test group, and adopted the grading diagnosis and treatment, and the data of all patients were retrospectively analyzed, and the treatment effect,cooperation of various community hospitals, and total satisfactory degree of patients to diagnosis and treatment were compared between the two groups. Results The markedly effective rate, effective rate, general effective rate, ineffective rate and total effective rate were respectively 21.71%,33.47%,16.90%,27.91%,72.09% in the control group and 45.69%,30.82%,12.07%,11.42%, 88.58% in the test group; before implementing the grading diagnosis and treatment, the cooperation rate of various community hospitals was not high, and after implementing the grading diagnosis and treatment, various community hospitals closely cooperated, and the questionnaire showed that the very satisfactory rate, satisfactory rate, general satisfactory rate, unsatisfactory rate and total satisfactory rate were respectively 21.90%,29.22%,20.90%,27.97%, 72.03% in the control group and 47.09%,30.58%,15.38%,6.93%, 93.05% in the test group, and the differences between groups had statistical significance, P〈0.05. Conclusion The grading diagnosis and treatment of chronic disease can promote the cooperation of various communities thus improving the utilization rate of regional medical resources, enhancing the rational allocation of medical resources, improving the treatment effect and treatment satisfactory degree of patients and increasing the treatment number of patients in the community hospital.
出处
《中国卫生产业》
2016年第23期152-154,共3页
China Health Industry
关键词
分级诊疗
慢性病优化
实证研究
Grading diagnosis and treatment
Chronic disease optimization
Empirical research
