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石河子市社区高血压临床路径和管理流程制备
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摘要
目的:促进社区卫生服务的健康发展,提高社区医疗服务质量,使社区高血压的诊疗、管理和转诊规范操作有序。方法:通过对以往社区卫生服务站及中心临床情况的了解、参考有关文献、临床指南的基础上,制定如下高血压临床路径标准,并进行研究和试行。结果:建立高血压的社区诊疗路径、规范社区医生高血压诊断、治疗、管理和转诊标准,有利于循证医学的最佳证据及临床研究成果推广到高血压控制的最前沿阵地,提高社区医生对高血压的诊疗、管理水平,把握转诊标准。结论:高血压临床路径的实施,可以使高血压患者在社区得到规范和最佳的治疗,具有更好的经济学效益。
Objective: To promote healthy development of health services and improve medical service quality in the communities, and to ensure normative procedures for the diagnosis, treatment, management and referral of community hypertensive patients. Methods: By approaching the clinical conditions of the community health service stations and centers and referring to therelevant literature and clinical guidelines, the following clinical pathway and criteria for hypertension were formulated, and were subject to investigation and trial implementation. Results: Thecommunity clinical pathway for hypertension was established, and the the criteria for the diagnosis, treatment, management and referral of hypertensive patients were normalized for the communityphysicians, which was favorable for obtaining the best medical evidences, applying the clinical study outcomings to the front line of hypertension control, improving the community physicians' ability to diagnose, treat and manage hypertension, and enabling the physicians to understand the referral criteria. Conclusion: Implementing the clinical pathway for hypertension could allowhypertensive patients access to normative and optimal treatment in the communities, thus providing better economic efficiency.
引文
[1]国家脑卒中协会(NSA).脑卒中发病后1小时的照顾指南于脑卒中急性期诊疗指南,美国,1999.
    [2]临床路径管理试点工作方案.2009年12月9日1:34卫生部网站.
    [3]临床路径管理对社区高血压患者血压控制的效果评价[J].鹿文英,黄煊,陈黎,顾春英,杨剑雄.上海医药.2013,34(6):20-23.
    [4]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8):701-743.
    [5]中国高血压基层管理指南(2014年修订版)[J].中华高血压杂志,2015,01:244-315.
    [6]贾惠莉,唐景霞,李述刚等.石河子市40社区高血压病人的社区管理现状调查[J].中华疾病控制杂志.2014,18(7):635-638.
    [7]魏咏兰,鹿茸,曾伟等.成都市社区高血压管理现状[J].预防医学情报杂志,2011,27(5):350-352.
    [8]黄艳.四平社区居民高血压管理现状和管理需求[D].上海:复旦大学,2008.
    [9]钱岳晟,张怡,张瑾等.上海市普陀区高血压社区规范管理的模式和效果探讨[J].中华高血压杂志,2012,20(1):26-30.
    [10]中国食品药品管理监督总局.关于印发《中国慢性病防治工作规划(2012-2015年)》的通知[EB/OL](2012-05-01)[2013-07-30].http://www.sda.Gov.cn/WS01/CL0852/73135.html.

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