深圳市铁岗社区基于系统动力学仿真全科团队模式的应用
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摘要
目的探讨基于系统动力学仿真全科团队模式在社区卫生服务中心的应用。方法选取社区健康服务中心2014年2月—2017年2月收治的600例患者,随机分为实验组和对照组各300例,实验组实施基于系统动力学仿真全科团队模式服务,对照组实施传统全科团队模式服务,比较两组血脂参数变化情况、临床疾病控制效果及管理质量指标。计量资料比较采用t检验,P<0.05为差异有统计学意义。结果干预后,实验组焦虑情况评分(AS)、健康档案建案评分(HFCR)、体重指数(BMI)、卫生知识知晓评分(KOHK)、疾病控制评分(DCS)、健康行为评分(HBS)、生活质量评分(QOLS)、合理应用抗生素评分(AUOAS)、治疗依从评分(TCS)、患者满意度评分(PSS)、生活方式评分(LS)均优于对照组,差异有统计学意义(均P<0.05);实验组TG、TC、LDL-C低于对照组(均P<0.05),HDL-C高于对照组(P<0.05)。结论开展基于系统动力学仿真全科团队模式的管理模式,有利于提高患者对疾病的控制,改善患者血脂水平。
Objective To explore the application of general team model based on system dynamics simulation in community health service center.Methods A total of 600 patients treated in the community health service center from February 2014 to February 2017 were randomly divided into 300 cases in the experimental group and the control group.The experimental group implemented a system based dynamic simulation team model service, and the control group implemented the traditional general team model service.The changes of the two groups of blood lipid parameters, the effect of clinical disease control and the quality of management were compared.Measurement data were compared by t test,P<0.05 was considered statistically significant.Results After intervention,AS,HFCR,BMI,KOHK,DCS,HBS,QOLS,AUOAS,TCS,PSS and LS were superior to the control group in the experimental group, and the difference was statistically significant(all P<0.05).The TG, TC and LDL-C in the experimental group were lower than the control group(all P<0.05), and the HDL-C was higher than that of the control group(P<0.05).Conclusion The management model based on the system dynamics simulation team model is helpful to improve the patient's control of the disease and improve the blood lipid level of the patients.
Objective To explore the application of general team model based on system dynamics simulation in community health service center.Methods A total of 600 patients treated in the community health service center from February 2014 to February 2017 were randomly divided into 300 cases in the experimental group and the control group.The experimental group implemented a system based dynamic simulation team model service, and the control group implemented the traditional general team model service.The changes of the two groups of blood lipid parameters, the effect of clinical disease control and the quality of management were compared.Measurement data were compared by t test,P<0.05 was considered statistically significant.Results After intervention,AS,HFCR,BMI,KOHK,DCS,HBS,QOLS,AUOAS,TCS,PSS and LS were superior to the control group in the experimental group, and the difference was statistically significant(all P<0.05).The TG, TC and LDL-C in the experimental group were lower than the control group(all P<0.05), and the HDL-C was higher than that of the control group(P<0.05).Conclusion The management model based on the system dynamics simulation team model is helpful to improve the patient's control of the disease and improve the blood lipid level of the patients.
引文
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[9]陈敏,薛晶晶,王稼颖,等.社区全科团队模式下的2型糖尿病患者健康管理效果评价[J].中国慢性病预防与控制,2012,20(2):236-238.
[10]于海霞,李智裁,闷明茹,等.社区家庭医生服务对糖尿患者生活质量的影响[J].现代生物医学进展,2012,12(31):6121-6123.
[11]杜兆辉,黄倩,蔡丞俊,等.全科医学与慢性病管理[J].医学与哲学,2015,36(16):1-2.
[12]陈月阳.基于远程网络学习的虚拟学习团队创新发展的动力因素探析[J].中国医学教育技术,2015,29(4):384-388.
[13]贾振全,孙淑霞.高管团队关系强度对企业创新绩效的影响[J].技术经济与管理研究,2013(9):35-39.
[14]余昌泽,周志衡,黄燕惠,等.广东省全科服务团队评价指标体系的建立研究[J].中国全科医学,2013,16(9A):2944-2946.
[15]施萍,吴静雅,付肖冰,等.建立全科医生制度意见的调查分析[J].中国全科医学,2012,23(4):362-366.
[2]钟宁,吴克明,刘德安.建立全科服务团队社区卫生服务评价指标体系的构想[J].中国全科医学,2010,13(26):3233.
[3]陈威,周铖.基于系统动力学仿真模拟评价武汉市水资源承载力[J].中国工程科学,2014,l6(3):103-107,112.
[4]罗燕,刘琴.中国适宜卫生技术推广应用的系统评价[J].中国循证医学杂志,2014,14(6):683-690.
[5]陈飞燕,杨文秀.天津市农村卫生适宜技术培训效果及应用分析[J].天津医药,2012,40(2):169-170.
[6]孙荣国,曾智.四川省示范县县级农村卫生适宜技术持续推广的影响因素分析[J].卫生软科学,2013,27(7):420-422.
[7]李艳玲,袁菊梅,苗杰,等.北京地区全科团队管理重性精神疾病的效果评估[J].中国全科医学,2015.18(34):4174-4178.
[8]李桂君,李玉龙,贾晓菁,等.北京市水-能源-粮食可持续发展系统动力学模型构建与仿真[J].管理评论,2016,28(10):11-26.
[9]陈敏,薛晶晶,王稼颖,等.社区全科团队模式下的2型糖尿病患者健康管理效果评价[J].中国慢性病预防与控制,2012,20(2):236-238.
[10]于海霞,李智裁,闷明茹,等.社区家庭医生服务对糖尿患者生活质量的影响[J].现代生物医学进展,2012,12(31):6121-6123.
[11]杜兆辉,黄倩,蔡丞俊,等.全科医学与慢性病管理[J].医学与哲学,2015,36(16):1-2.
[12]陈月阳.基于远程网络学习的虚拟学习团队创新发展的动力因素探析[J].中国医学教育技术,2015,29(4):384-388.
[13]贾振全,孙淑霞.高管团队关系强度对企业创新绩效的影响[J].技术经济与管理研究,2013(9):35-39.
[14]余昌泽,周志衡,黄燕惠,等.广东省全科服务团队评价指标体系的建立研究[J].中国全科医学,2013,16(9A):2944-2946.
[15]施萍,吴静雅,付肖冰,等.建立全科医生制度意见的调查分析[J].中国全科医学,2012,23(4):362-366.