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目的了解成都社区卫生机构高血压防治能力现状及问题。方法标准化问卷,随机整群抽样选取成都市3个城区、1个城乡结合区及一个县级社区共计22个卫生服务中心。结果每万人全科医生、护士数达到国家标准的社区分别为54.30%、28.3%。中心场地面积<1000m2的社区达14.20%,高血压最常使用的10项硬件设备普遍具备。平均每个全科医生实际管理高血压患者数不足400人。超过60%社区医生对4类高血压相关知识掌握程度较差。一线降压药物社区使用率不足50%,社区高血压患者从未治疗或间断治疗的分别为18.4%、19.3%。结论社区医生负担过重、高血压患者管理质控不佳是导致达标率低的重要原因。
Objective To understand the status quo and problems of hypertension prevention and control in community health institutions in Chengdu. Methods Standardized questionnaires, random cluster sampling selected three urban areas in Chengdu, a combined urban and rural areas and a county community a total of 22 health service centers. Results The number of community-based doctors and nurses per 10,000 population reached 54.30% and 28.3% respectively. 14.20% of the community with a site area of <1000m2 and 10 commonly used hardware devices for hypertension. On average, the actual number of hypertensive patients managed by each general practitioner is less than 400. More than 60% of community doctors have poor knowledge of Class 4 hypertension. First-line antihypertensive drug community use less than 50%, community-based hypertension patients never treated or intermittent treatment were 18.4%, 19.3%. Conclusion Community doctors are overburdened and hypertension patients with poor quality control are the main reasons leading to low compliance rate.