Current situation and countermeasures of chronic disease management in community public health service
基层社区公共卫生服务中慢性病管理现状与对策

摘要

目的探究基层社区公共卫生服务中慢性病管理现状与对策。方法：选取 2020 年 07 月—2021 年 06 月在社区公共卫生服务的慢性病患者 120 例作为对照组，选取 2021 年 07 月—2022 年 06 月在社区公 共卫生服务的慢性病患者 120 例作为观察组。通过问卷调查，统计参与调研的慢性病患者在过去一年时间 的体检、服药情况和满意度。结果：观察组患者按时体检和用药的比例高于对照组患者。同时，观察组患 者对社区卫生管理的满意度高于对照组患者，组间对比，差异具有统计学意义，P＜0.05。结论：基层社区 卫生公共服务对慢性病患者的管理存在部分问题，管理滞后，提高基层社区卫生服务对慢性病患者的管理， 可以帮助患者正视疾病，养成良好的自理习惯，定期体检和服药，改善患者生活，综合效果明显。

Abstract

Objective To explore the current situation and countermeasures of chronic disease management in grassroots community public health services.
Methods A total of 120 patients with chronic diseases in community public health services from July 2020 to June 2021 were selected as the control group, and 120 patients with chronic diseases in community public health services from July 2021 to June 2022 were selected as the observation group. Through the questionnaire survey, the physical examination, medication and satisfaction of patients with chronic diseases in the past year were counted.
Results The proportion of regular physical examination and medication in observation group was higher than that in control group. At the same time, the patients' satisfaction with community health management in the observation group was higher than that in the control group, and the difference was statistically significant (P < 0.05).
Conclusion  s There are some problems in the management of patients with chronic diseases in primary community health services, and the management lags behind. Improving the management of patients with chronic diseases in primary community health services can help patients face up to the disease, develop good self-care habits, regular physical examination and medication, and improve the life of patients, with obvious comprehensive effect.