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目的了解四川省基本公共卫生服务项目慢性病管理的现状,探索促进基本公共卫生服务项目慢性病管理的方法。方法收集全省2012年和2013年基本公共卫生服务项目慢性病管理的相关数据,进行综合分析。结果截至2013-10-31,四川省高血压、糖尿病患者健康管理率分别为45.36%和31.69%,分别较上年度同期升高了7.62%和11.94%;高血压、糖尿病患者规范管理率分别为91.40%和90.88%,分别较上年度同期升高了5.09%和2.68%,高血压规范管理率的差异有统计学意义(χ2=4.83,P<0.05)。四川省基本公共卫生服务项目省级绩效考核,2013年度慢性病患者健康档案规范管理率,血压、血糖控制率均较2012年度有所上升,差异均有统计学意义(P<0.05)。结论四川省基本公共卫生服务项目慢性病管理工作正在逐步完善,在下一步的工作中要在健全基本公共卫生服务项目信息监测体系和提高基层医疗机构的慢性病管理服务上下功夫。
Objective To understand the status quo of chronic disease management in basic public health service projects in Sichuan and to explore ways to promote chronic diseases management in basic public health services. Methods The data of chronic diseases management of the basic public health service projects in 2012 and 2013 were collected and analyzed comprehensively. Results As of 2013-10-31, the health management rates of hypertension and diabetes in Sichuan Province were 45.36% and 31.69% respectively, up by 7.62% and 11.94% over the same period of last year respectively. The standardized management rates of hypertension and diabetes patients were 91.40% and 90.88%, respectively, increased 5.09% and 2.68% respectively over the same period of the previous year. There was significant difference in the management rate of hypertension (χ2 = 4.83, P <0.05). Provincial performance appraisal of basic public health service projects in Sichuan Province, management standard of health files for patients with chronic diseases in 2013, and blood pressure and blood glucose control rates increased from 2012 onwards. The differences were statistically significant (P <0.05). Conclusion The chronic diseases management of the basic public health service project in Sichuan Province is gradually being perfected. In the next step, we must make efforts to improve the information monitoring system of basic public health service items and improve the chronic disease management services of primary health care institutions.