摘要
目的探讨和建立有效降低脑卒中发病、死亡及危险因素水平的长效机制与资源管理模式。方法建立以区卫生局领衔,社区人群脑卒中防治体系,医院与全社区卫生服务中心建立双向转诊制度,2级医院医师进入社区讲解脑血管病预防知识,训练社区医生防治卒中水平,地段医院与全社区卫生服务中心建立双向转诊制度,在社区人群中开展危险因素水平的调查与评估,提高社区居民防治脑卒中知识的知晓率及社区卫生对脑卒中的保健率。结果社区医生对脑卒中防治知识的合格率从培训前的21%提高到培训后的98%,社区居民防治脑卒中知识的知晓率明显提高,社区卫生对脑卒中的保健率逐年提高,脑内血肿穿刺引流及溶栓病例显著增加,近4年长辛店地区脑卒中患病率和病死率逐年下降。结论利用地段医院自愿与社区卫生整合防治脑卒中的方法是值得广泛推广的防治脑卒中的最佳模式。
Objective To explore and establish a community model for prevention and management of stroke in order to effectively reduce the morbidity and mortality of patients with stroke.Methods The establishment of community system for prevention and treatment of stroke under the leadership of District Public Health Bureau and construction of two-way referral system with all community health service centers and community hospitals were performed.The physicians from community hospital could enter the community and teach the knowledge about stroke prevention and treatment to residents,and they were training community physicians to raise their level of prevention and treatment for stroke.A survey and assessment of risk factors in community residents had been taken for enhancing their awareness of stroke prevention,and the rate of stroke prevention in community health service center.Results The community physicians were significantly raised their rate for mastering the knowledge of stroke prevention and treatment from 21% to 98% before and after training.The community residents received publicity were also significantly increased their awareness rate for stroke prevention and enhanced their awareness of stroke prevention.The annually increased tendency of invasive-surgery and thrombolytic treatment were observed.The morbidity and mortality of stroke were tended to be controlled during recent 4 years in Changxindian District,Beijing.Conclusion It is possible to extend this available model for preventing stroke in community by sharing resources from community hospitals,and it is based on the effective control of morbidity and mortality of stroke.
出处
《临床和实验医学杂志》
2011年第23期1821-1823,共3页
Journal of Clinical and Experimental Medicine
关键词
脑卒中
二级医院
社区卫生服务
社区人群
管理模式
Stroke
Seconday hostipal
Community health service
Community population
Management mode
