深圳市南山区高血压防治特点及经费激励模式介绍

目的介绍深圳市南山区高血压社区防治特点和经费激励模式，探索基层高血压管理经验。方法对历史资料进行收集整理，总结高血压防治特点；通过实例计算介绍经费激励模式；通过报表数据对比分析，评价实施效果。结果深圳市南山区高血压社区防治工作经过15年的探索，已经建立起比较完善的三级防控网络。利用在国内具有特色的“院办院管”社区卫生健康服务中心管理模式和独立于疾病预防控制中心之外的区级慢性病防治专业机构的优势，打破经费单纯按照居民健康档案打包分配的模式，按照基本公共卫生服务的功能模块进行二次分配，并向高血压防治工作倾斜，南山区高血压管理人数和管理指标得到显著提升。与2011年12月数据相比，2012年12月南山区高血压管理人数、规范管理人数、血压达标人数分别同比增长8431人、8598人、7637人，高血压管理率、规范管理率、血压控制率分别同比增长10．3％、9．3％、7．4％。结论深圳市南山区高血压防治具有自身独特的特征，其经费激励模式大大提高了社区慢性病医生的工作积极性。

The character and financial incentive mode of hypertension prevention and treatment in Nanshan district of Shenzhen

Objective To introduce the character and financial incentive mode of hypertension prevention and treatment in Nanshan district of Shenzhen and to explore the experience of hypertension management. Methods The historical data were collected to assess the character of community hypertension management, the financial incentive mode was demonstrated by example calculation and the reported data were analyzed to evaluate the effectiveness. Results The work of community hypertension prevention and treatment had been performed for 15 years and a relatively perfect three-grade control network was established in Nanshan district of Shenzheu. With the advantage of the management mode by local hospitals for community health service center and the unique professional organizations for chronic disease prevention which was independent on CDC, the financial compensation mode on the basis of resident health files was changed. A secondary distribution was carried out according to the basic public health services function module, giving priority to hypertension. So the number of patients with hypertension and management indexes were improved. As compared with the data in December of 2011, the data in December of 2012 indicated that the numbers of managed hypertension patients, regularly managed hypertension patients and hypertension patients with normal indicators increased （8 431, 8 598 and 7 637 cases, respectively）, the rates of hypertension management, regular hypertension management and controlling blood pressure were 10.3%, 9.3% and 7.4%, respectively. Conclusion There are the unique characteristics for hypertension prevention and treatment in Nanshan District of Shenzhen, the work of chronic diseases control is improves by the financial incentive mode.