社区高血压患者治疗管理工作的区域差异

目的评价我国、东、中、西区域社区高血压患者治疗管理工作的质量达标和数量完成情况。方法运用分层抽样、问卷调查的方法，获得社区高血压患者治疗规范管理的数量完成程度和质量达标程度及相应难点。结果各区域社区高血压患者治疗管理工作数量平均得分40．7分，工作质量平均得分43.4分；东部区域在工作质量和数量上好于中、西部区域；各地普遍认为经费、人力、物资配备和制度安排是影响工作质量达标和数量完成状况的关键原因。从各区域“经费、人力、物资配备”的选择比例来看，中部区域最高。结论深入开展高血压患者治疗管理工作，各地区均应提高经费、人力等方面的投入，加强制度建设，在此基础上，严格规范管理、提高随访工作的质量是进一步研究的重点。

Difference of Treatment Management of Hypertension Patients in Communities among East, Middle and West of China

Objective To evaluate the fulfillment degree of quality and quantity of the treatment management of Hypertension Patients in community among east,middle and west part of China.Methods Centers of disease prevention and control in three parts of China had been sampled by two-stage stratified sampling method to investigate the fulfillment degree of quality and quantity of the treatment management of Hypertension Patients in community and its influencing factors.Results It showed that the average score of quality and quantity of treatment management on Hypertension Patients in communities was 43.4 and 40.7.the east was superior to the mid-west in the quality and quantity.The four most critical reasons affecting the quality and quantity were funds,manpower,equipment and system construction.and the middle area especially were the former three reasons.Conclusion It should be enhanced to put into more funds,manpower,etc.so as to guarantee the quality and quantity of the treatment management of Hypertension patients in community.improving the quality of the follow-up should be stressed.