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目的探索家庭医生模式下农村社区高血压患者的管理方式。方法通过1:2500的比例签约,由家庭责任医师承担签约患者的高血压管理,做好随访及临床检查工作。结果新的家庭医生模式对农村社区的高血压管理工作起着积极的推动作用。结论在新医改政策的支持下,农村社区实施家庭医生服务模式有效的利用了有限的医疗资源,诊断治疗、随访规范性有所提升,高血压患者临床检查工作更加容易开展,检查数据得到了合理的利用,同时对和谐医患关系的构建、健康教育、健康促进工作都起着积极的推动作用。
Objective To explore the management mode of hypertensive patients in rural community under family doctor mode. Method 1: 2500 ratio by signing the contract, by the family physician responsible for contracting patients with hypertension management, good follow-up and clinical examination. Results The new family doctor model plays a positive role in promoting hypertension management in rural communities. Conclusion With the support of the new medical reform policy, the implementation of family doctor service mode in rural communities effectively utilizes limited medical resources. The diagnosis and treatment are improved. The standard of follow-up is improved. The clinical examination of hypertension patients is easier to carry out. The examination data are reasonable At the same time, it plays an active role in promoting the construction of a harmonious relationship between doctors and patients, health education and health promotion.