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目的 探讨社区控制高血压经济有效的模式与方法。方法 1998年 12月～ 1999年 12月在北京城近郊区及部分企业所辖社区中 ,由社区全科医生对 9740例高血压实施一对一的“合作管理”方式 ,每月定期随访 ,为期 1年。结果 显示使用管理模式运行良好 ,医患关系改善 ,病人依从性提高 ;健康知、信、行水平提高 ;血压控制率提高 ;医疗费用降低。结论 在社区实施全科医生与高血压病人的互动式合作管理模式 ,对改善医患关系 ,落实高血压非药物治疗措施 ,提高高血压的管理率、治疗率、血压控制率 ,降低医疗费用效果显著 ,是可行的并值得进一步探讨与推广。
Objective To explore the economically effective modes and methods for controlling hypertension in the community. Methods From December 1998 to December 1999, in the neighborhoods of Beijing’s urban suburbs and some of the communities under the jurisdiction of some enterprises, the community general practitioners conducted a one-on-one “cooperative management” approach to 9740 cases of hypertension, and they were followed up periodically for a period of time. 1 year. The results showed that the use of management mode worked well, the relationship between doctors and patients improved, the patient compliance improved; the level of health knowledge, trust, and behavior improved; the rate of blood pressure control increased; and the medical costs decreased. Conclusion The implementation of an interactive cooperative management model for general practitioners and hypertensive patients in the community improves the relationship between doctors and patients and implements non-drug treatment for hypertension. It can improve the management rate, treatment rate, and blood pressure control rate of hypertension and reduce the effect of medical expenses. Significant, feasible and worthy of further exploration and promotion.