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目的比较海口市公立与民营社区卫生服务机构老年人、慢性病患者管理项目实施效果,为制定卫生政策和区域卫生规划提供依据。方法以老年人健康管理率、规范管理率,慢病患者健康管理率、规范管理率和血压、血糖控制率为评价指标,应用描述性方法对海口市单位规模、辖区人口、老年人人数、慢病患者人数相似的34家公立与民营社区卫生服务机构2015年老年人、慢性病患者管理项目实施效果进行比较分析。结果海口市公立社区卫生服务机构老年人健康管理率为58.04%、规范管理率为92.06%;高血压患者健康管理率为33.32%、规范管理率为74.64%、血压控制率为63.08%;糖尿病患者健康管理率为23.34%、规范管理率为62.26%、血糖控制率为53.20%。民营社区卫生服务机构老年人健康管理率为51.62%、规范管理率为90.70%;高血压患者健康管理率为28.41%、规范管理率为67.29%、血压控制率为57.58%;糖尿病患者健康管理率为23.19%、规范管理率为67.76%、血糖控制率为49.19%。除糖尿病患者健康管理率、规范管理率外,各项指标比较公立社区卫生服务机构均高于民营社区卫生服务机构,差异有统计学意义(P<0.05)。结论海口市公立社区卫生服务机构老年人、慢性病患者管理项目实施效果优于民营社区卫生服务机构,政府应加大经费投入、政策扶持并完善监管制度,促进民营社区卫生服务机构更好地落实公共卫生服务功能。
Objective To compare the implementation effect of the elderly and chronic diseases management projects in public and private community health service institutions in Haikou, and provide the basis for formulating health policies and regional health plans. Methods Based on the indexes of health management rate, standardized management rate, health management rate of chronic patients, standardized management rate, blood pressure and blood glucose control rate, the descriptive method was used to evaluate the health effects of elderly people, A comparative analysis of the implementation effect of the 2015 elderly and chronic disease management project among 34 public and private community health service institutions with similar numbers of sick patients. Results The health management rate was 58.04% and the regulatory rate was 92.06%. The health management rate of hypertension patients was 33.32%, the standardized management rate was 74.64%, and the blood pressure control rate was 63.08%. In the diabetic patients The rate of health management was 23.34%, the standard management rate was 62.26% and the rate of blood sugar control was 53.20%. The health management rate of elderly in private community health service institutions was 51.62% and the standardized management rate was 90.70%. The health management rate of hypertensive patients was 28.41%, the standardized management rate was 67.29% and the blood pressure control rate was 57.58%. The health management rate of diabetes patients 23.19%, standardized management rate was 67.76%, blood sugar control rate was 49.19%. In addition to the health management rate of diabetic patients, the standard management rate, the indicators of public community health service agencies are higher than the private community health service agencies, the difference was statistically significant (P <0.05). Conclusion The implementation effect of elderly and chronic diseases management project in public community health service institutions in Haikou is better than that in private community health service agencies. The government should increase funding, support policies and improve the regulatory system, and promote the implementation of public health service agencies in private communities better Health service functions.