[1]吴建),张东霞),李小芳)#.河南省公共卫生服务多项目县2型糖尿病健康管理服务实施效果*[J].郑州大学学报(医学版),2012,(03):318.
 WU Jian),ZHANG Dongxia),LI Xiaofang).Efficacy of health management services for patients with type Ⅱdiabetes in Henan province[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(03):318.
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河南省公共卫生服务多项目县2型糖尿病健康管理服务实施效果*
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年03期
页码:
318
栏目:
论著
出版日期:
2012-05-20

文章信息/Info

Title:
Efficacy of health management services for patients with type Ⅱdiabetes in Henan province
作者:
吴建1)张东霞2)李小芳1)#
1)郑州大学公共卫生学院社会医学与卫生事业管理学教研室 郑州 450001 2)河南工业大学外语学院 郑州 450001
Author(s):
WU Jian1)ZHANG Dongxia2) LI Xiaofang1)
1)Department of Social Medicine and Health Management,College of Public Health, Zhengzhou University, Zhengzhou 450001 2)School of Foreign Languages,Henan University of Technology, Zhengzhou 450001
关键词:
2型糖尿病健康管理公共卫生服务
Keywords:
type Ⅱdiabeteshealth managementpublic health service
分类号:
R181.2
摘要:
目的:了解河南省实施国家基本公共卫生服务1 a的2个项目县2型糖尿病健康管理服务的效果。方法:采用分层整群配额抽样方法抽取2个样本县,对2型糖尿病健康管理服务进行入户调查,对乡、村服务机构开展机构调查。结果:2010年2个样本县基本公共卫生服务经费到位率分别为86.9%和98.2%,2型糖尿病患者健康管理率分别为97.8%和96.1%,按期随访率分别为68.4%和57.1%,管理人群血糖控制率分别为14.2%和19.7%。居住在不同地理环境(山区、丘陵、平原)的2型糖尿病患者的血糖控制率差异有统计学意义(χ2=9.899,P=0.007),平原地区患者的血糖控制率较高;而不同性别和不同收入水平患者血糖控制率差异均无统计学意义(χ2=0.406和1.231,P均<0.05)。结论:国家基本公共卫生服务2型糖尿病健康管理服务在覆盖、质量和效果方面取得了初步成效,但血糖控制率及经费支出率仍有较大提升空间,同时需要重点加强对边远地区居民的干预力度。
Abstract:
Aim:To study the efficacy of national basic public health service’s progress for type Ⅱdiabetes in Henan province.Methods:Stratified cluster quota sampling method was used mainly.Research method included service object investigation,organization investigation and personal depth interview.Results:The funds allocation rates for sample county 1 and 2 were 86.9% and 98.2%,respectively in 2010. The coverage of diabetes health management was 97.8% and 96.1%. Diabetes on schedule followup rates were 68.4% and 57.1%.The blood sugar control rates were 14.2% and 19.7%,and there was significant difference in blood sugar control rate among peoples from mountain area,hilly land and plain(χ2=9.899,P=0.007). Conclusion:The national basic public health services progress for type Ⅱ diabetes has won initial success,and should pay more attention to improving the blood sugar control rate,expenditure of funds,and peoples from mountain area.

参考文献/References:

[1]Yang W,Lu J,Weng J,et al.Prevalence of diabetes among men and women in China[J].N Engl J Med,2010,362(12):1090
[2]吴建,张萌,谢双保,等.政府购买农村基本公共卫生服务绩效支付初探[J].中国卫生经济,2010,29(9):25
[3]吴建,谢双保,张萌,等.政府购买农村公共卫生服务绩效合同管理初期效果评估[J].中国卫生经济,2010,29(9):23

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备注/Memo

备注/Memo:
*河南省世界银行贷款和英国赠款中国农村卫生发展项目 #通讯作者,女,1972年3月生,硕士,副教授,研究方向:卫生法律与法规,Email:lxf3@zzu.edu.cn
更新日期/Last Update: 2012-05-31