摘要
目的了解重庆市沙坪坝区基本公共卫生服务中慢性非传染性疾病(NCD)患者管理现状并分析其影响因素。方法选取重庆市沙坪坝区为研究地点,采用分层随机抽样方法,抽取8个基层医疗机构,通过定量和定性研究相结合的方法收集资料。结果共调查486例NCD患者,其对NCD健康管理内容的知晓率、利用率和满意度均超过93%。共96例NCD患者参与了专题小组讨论,结果表明社区卫生服务中心患者对NCD健康管理的知晓情况优于乡镇卫生院患者。健康指导缺乏针对性、体检项目少、医疗设备落后是影响NCD患者健康管理服务利用度和满意度的主要因素。结论重庆市沙坪坝区基本公共卫生服务中NCD健康管理总体情况较好,但服务质量有待提高,患者健康素养急需提升。
Objective To evaluate the current situation and the effective factors of non-infectious chronic disease(NCD)management in basic public health services of Shapingba district of Chongqing.Methods The stratified random sampling method was used to select 8 primary medical institutions in Shapingba district of Chongqing municipality.A combination of qualitative and quantitative methods was used to collect data.Results A total of 486 NCD patients participated in the quantitative survey.Their awareness rate,utilization rate and satisfaction rate of NCD health management content were all over 93%.And 96 NCD patients were selected for focus group discussion.The results showed that patients in community health centers know better about NCD health management than those in township health center.Lack of pertinence on health guidance,lack of physical examination items and backward medical equipment were the main factors affecting the utilization and satisfaction of NCD health management.Conclusion General situation of NCD health management in basic public health services in Shapingba district of Chongqing is pretty,but the service quality and the health literacy of patient need to be improved.
作者
刘璐
李金
刘诗莉
王赓
梁胜翔
陈勇
张锐
李颖
LIU Lu;LI Jin;LIU Shili;WANG Geng;LIANG Shengxiang;CHEN Yong;ZHANG Rui;LI Ying(Teaching and Researching Section of Social Medicine and Health Management,Army Military Medical University,Chongqing 400038,China;Chongqing Municipal Health Committee,Chongqing 401147,China)
出处
《重庆医学》
CAS
2020年第4期646-649,共4页
Chongqing medicine
基金
教育部资助项目（教外司留[2015]1098）
重庆市科技委员会资助项目（cstc2014jcyjA10069）
关键词
基层医疗机构
慢性病
疾病管理
primary health facility
chronic disease
disease management
