Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-11-07 Cooperative journals: 《中国全科医学》
Abstract： Background To better address the problems and challenges facing primary health care services in China，China's National Health Commission and the Gates Foundation have been collaborated to implement primary health care projects in areas such as Shanxi Province，Hubei Province，and part of the rural areas of Henan Province from 2017 to 2022. The overall goal of the project is to explore an effective model for basic health care services and to contribute to health poverty alleviation, which will enhance experience sharing within China and benefit other developing countries. Objective To summarize the experience of implementing person-centered integrated health management project in rural populations with priority diseases, represented by hypertension and diabetes. Methods The collection of information and data for the person#2;centered integrated health management project encompassed multiple sources，including hospital information system，statistical reporting information, basic public health information system，qualitative interviews，patient surveys，physician surveys and quality surveys of medical records. Descriptive statistical analysis as well as before-and-after comparisons were used as the main evaluation methods. Results The proportion of patients with hypertension and diabetes under standardized management increased steadily，the average hospitalization cost of inpatients decreased，with a gradual increase in healthy living behaviors and a significant improvement medication adherence. In terms of health outcomes，the control rate of hypertension improved significantly but the control rate for blood glucose did not change significantly. Conclusion The service concept and capacity of person-centered integrated health management for priority diseases have been significantly improved. The relevant measures have been transformed into policies to be promoted and implemented in the project areas. Various types of experts are the key factors in promoting the implementation of the project, the sustainability of the measures needs to be maintained.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2022-11-23 Cooperative journals: 《中国全科医学》
Abstract：
This paper aimed to help beginners to case study in general practice and primary healthcare clarify standard operating procedures for case study, understanding that the "rigor" of case study stems from strict adherence to standard implementation procedures. First, this paper sorted out the development process of case study via literature review, and summarized the connotation, historical background and applicable issues of case study. Then the standard operating procedures of case study were described step by step, and the application of case study in general practice and primary healthcare was illustrated with specific examples. It consists of the following six steps. Step 1: Plan start, determining whether to conduct a case study. Step 2: Plan design, selecting appropriate cases (s) and case study types. Step 3: Job preparation, training and pilot research. Step 4: Data collection, obtaining data from multiple sources. Step 5: Data analysis, drawing conclusions based on evidence. Step 6: Report writing, for the reader. Case study is suitable for solving the questions about "What", "How" and "Why" contained in general practice and primary healthcare, possessing a broad application prospect.
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