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目的研究某社区卫生服务中心在不同公共卫生服务模式下的服务效果,探讨各公共卫生服务模式的差异,为社区公共卫生的进一步优化提供参考。方法采用典型抽样法,在某市选取1家社区卫生服务中心为研究对象,采用SPSS15.0软件分析比较其在不同时间实施的公共卫生服务模式的服务效果。结果该社区实施过的三种公共卫生服务模式分别为全科医生模式、全科团队模式和家庭医生模式。全科医生模式下的家庭健康档案建档率(90.10%)完成效果较好,家庭医生模式在免疫规划疫苗接种率(100.00%)、高血压患者管理率(91.80%)、糖尿病患者管理率(88.91%)、65岁以上老年人健康管理率(100.00%)、孕产妇系统管理率(95.61%)及0～6岁儿童系统管理率(90.51%)的服务效果中,均优于全科医生模式和全科团队模式,但在精神疾病患者管理率(83.02%)方面的服务效果不如全科医生模式和全科团队模式。结论家庭医生服务模式在公共卫生服务各方面的服务效果均较好,具有较高的推广性,可为其他社区卫生服务中心提供参考和借鉴。
Objective To study the service effect of a community health service center under different public health service modes and to explore the differences of public health service modes so as to provide reference for the further optimization of community public health services. Methods A typical sampling method was used to select a community health service center in a certain city as the research object. The SPSS15.0 software was used to analyze the service effectiveness of the public health service model implemented at different times. Results The three public health service modes implemented in this community were general practitioner mode, general team mode and family doctor mode respectively. The rate of completion of family health records (90.10%) in general practitioners was better than that of family doctors. The rate of vaccination (100.00%), management of hypertension (91.80%) and management of patients with diabetes (91.80% 88.91%), the health management rate (100.00%) of the elderly over the age of 65, the maternal system management rate (95.61%) and the 0-6-year-old children’s system management rate (90.51%) were better than the general practitioners Mode and general team mode, but the effect of service on mental patient management rate (83.02%) is not as good as that of general practitioner mode and general team mode. Conclusion The service mode of family doctor has a good effect in all aspects of public health services and has high promotion. It can provide reference and reference for other community health service centers.