社区医院高血压和糖尿病防治现状研究

Objective: To understand the current situation of health management and treatment of patients with hypertension and diabetes in community hospitals in China, find out the problems and put forward suggestions.Methods: The data of 3718 community hospitals was collected through the Quality Service Grass-roots Activities Declaration System.Descriptive statistical analysis and multiple linear regression analysis were carried out based on stata15.0.Results: The average level of all kinds of health personnel in community hospitals was significantly higher than the average level of township hospitals and community health service centers in China; there were differences among regions, the eastern region was the most, and the central region was the least, and the differences were statistically significant.There were statistically significant differences in the allocation of facilities, equipment and drugs among regions, and the proportion of community hospitals equipped with 7-9 kinds of essential anti-hypertensive and hypoglycemic drugs was the highest.There were significant differences in the number of patients with hypertension and diabetes and the renewal rate of family doctors among regions, but there was no significant difference in the signing rate among regions.The standardized management rate of patients with hypertension and diabetes was the highest in the west, and the control rate of blood pressure and blood sugar was the highest in the middle, and the differences were statistically significant.The results of multivariate analysis showed that the influence of human resources, drug allocation, renewal rate and proportion of medical insurance fund on the number of patients with hypertension and diabetes in community hospitals was statistically significant, but most of these factors had no statistical significance on the standardized management rate and the control rate of blood pressure and blood sugar.Conclusion: The human resources and drug allocation of community hospitals in the eastern region are the best, but the hardware conditions such as facilities and equipment allocation of community hospitals in the western region are the best.The integration of hypertension and diabetes still needs to be implemented, the standardized management rate and public health indicators such as blood pressure and blood sugar control rate are decoupled from the medical service capacity of institutions, and the related indicators of medical services and public health services are inverted, the former is higher in the east, the latter is higher in the west, and the quality of public health data and service connotation need to be improved.