成都市社区卫生机构高血压防治能力现状及问题

目的 了解成都社区卫生机构高血压防治能力现状及问题。方法标准化问卷，随机整群抽样选取成都市3个城区、1个城乡结合区及一个县级社区共计22个卫生服务中心。结果每万人全科医生、护士数达到国家标准的社区分别为54．30％、28．3％。中心场地面积〈1000m^2的社区达14．20％，高血压最常使用的10项硬件设备普遍具备。平均每个全科医生实际管理高血压患者数不足400人。超过60％社区医生对4类高血压相关知识掌握程度较差。一线降压药物社区使用率不足50％，社区高血压患者从未治疗或间断治疗的分别为18．4％、19．3％。结论社区医生负担过重、高血压患者管理质控不佳是导致迭标率低的重要原因。

The current situation and problems of prevention and control capability against hypertension of community health services station in chengdu

Objective To investigate the essential facilities, capacity and existing problems of cemmunity health services station for anti-hypertension in Chengdu.Methods Randomly duster sampling was carried by moralized questionnaire. Totally 22 health service centers from 3 urban districts,one rural and urban fringe and one county station were investigated.Results 54.3% and28.3% of the communities reached the national standard for the number of general practitioners and the nurses per 1000 community people respectively. 14.20% of the medical centers did not meet the national requirement for the ptace which could not less than 1000m^2.Ten conventional devices for hypertension diagnosis except for AMBP（ambulatory blood pressure monitor）were available in all communities. Heavy burden led to that actually less than 400 hypertensive patients were managed. 60% practitioners lack 4 kinds of knewledge. The usage rate of the five dassifications of anti-hypertensive drugs reeonnnended by guiddine was less than 50%. 18.4% patients have never received any treatment while 19.3% only received discontinuous medicine taking. Conclusion Neither the quality nor the quantity of community medical resources conld not meet the basic medical requirement of community people.