搞好哮喘教育管理改变医疗服务模式培训课件

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,搞好哮喘教育管理改变医疗服务模式,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,搞好哮喘教育管理改变医疗服务模式,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,搞好哮喘教育管理改变医疗服务模式,*,搞好哮喘教育管理改变医疗服务模式,搞好哮喘教育管理改变医疗服务模式,So many problems existed in medical service,why?What the solutions?,Difficulties,:unfair locations of the medical resources countryside,urban,High cost：different forms for medical cost,new drugs development,slowly increased of peoples income,Health reform,the hospital development service for profit,2,搞好哮喘教育管理改变医疗服务模式,So many problems existed in me,Unhealthy doctor-patient relationship becomes more and more tension:,trustless,restricting the very development of physicians,Why?The way paid for medical service changed,constitution of the hospitals,professionalism education,medical reform,Excessive Medical Care,Negative function of the multimedia,3,搞好哮喘教育管理改变医疗服务模式,Unhealthy doctor-patient relat,mission for medicine,Profit-for public hospitals,physicians lost themselves,Seeking to make a profit,Work passively,Promoting the health of all.,in this complicated context,what physicians should do?how?,4,搞好哮喘教育管理改变医疗服务模式,mission for medicine4搞好哮喘教育管理改,the,administration,of,Asthma began in 1993 in China,after many years practice and exploration,the following model formed.,三,三,位,位,一,一,体,体,医,医,疗,疗,服,服,务,务,模,模,式,式,哮喘宣教中心,哮喘专病门诊,哮喘患者协会,5,搞好哮喘教育管理改变医疗服务模式,the administration of Asthm,special service for Asthma,is the,primary point for,education management on,Asthma.Physician there will be responsible for the diagnosis,making plan on treatment and so on.,public education center on Asthma,is the further step,it makes more convenience for doctor-patient communications.,The association of asthma patients,is the platform we carry out our education,it provides a ideal atmosphere between doctor and patient.Doctor-patient relationship is the fatal factor here.,6,搞好哮喘教育管理改变医疗服务模式,special service for Asthma is,The association of asthma patients,founded in May,2001.,More than 700 members now.,7,搞好哮喘教育管理改变医疗服务模式,The association of asthma pat,An activity will be hold at weekend every four months(free).Members will be informed and take part in as they want.Always 100-150 members,.,8,搞好哮喘教育管理改变医疗服务模式,An activity will be hold at,Content:,Lectures on Asthma control;,Communication between asthma patients,etc.,It will be changed depend on the members willing,but always concentrate on the Asthma control&Asthma control in China.,9,搞好哮喘教育管理改变医疗服务模式,Content:9搞好哮喘教育管理改变医疗服务模式,“Public education center on Asthma”,founded in Nov,2001.,A specialist gives advise,also some training to his patients,10,搞好哮喘教育管理改变医疗服务模式,“Public education center on,give patients free materials,develop volunteers,make up files,etc.,11,搞好哮喘教育管理改变医疗服务模式,give patients free materials1,“special service for Asthma”began in April,2003.A specialist will provide his services.,12,搞好哮喘教育管理改变医疗服务模式,“special service for Asthma”,patients get their,diagnosis and relative treatment plan;know more on Asthma;also have more confidence.,13,搞好哮喘教育管理改变医疗服务模式,patients get their diagnosis,relative activities of doctors on Asthma,14,搞好哮喘教育管理改变医疗服务模式,relative activities of doct,Long term treatment for Asthma control and management,evaluating,Working for goals,Monitor and maintain the control,15,搞好哮喘教育管理改变医疗服务模式,Long term treatment for Asthma,in 2005表1 the basic knowledge known by patients,分,组,调,查,人,数,哮喘是一种,慢 性 疾 病,哮喘变应性,炎 症 本 质,激素是控制气道,炎症最有效药物,吸入疗法,用药的优点,吸入型药物,正 确 用 法,峰速仪为监测,病情重要工具,哮 喘 控,制 目 标,预 防 诱 因,重 要 性,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,教,育,组,73,73,100.0,61,83.6,66,90.4,73,100.0,72,98.6,68,93.2,71,97.3,67,91.8,对,照,组,30,20,66.7,6,20.0,13,43.3,19,63.3,26,86.7,6,20.0,18,60.0,23,76.7,x2,值,2328,3778,2637,2625,425,5624,2226,440,P,值,0.01,0.01,0.01,0.01,0.05,0.01,0.01,0.05,0.01,0.01,0.05,17,搞好哮喘教育管理改变医疗服务模式,表2 the corporation between do,表3 activities taken by patients,分,组,调,查,人,数,曾经坚持,3个月以上,吸入激素,仍然坚持,吸入激素,吸入方,法正确,拥有,峰速仪,经常监测,峰流速,个人记录峰,流速值,峰流速记录,供医生参考,注意预防,哮喘诱因,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,人数,构成,比,（）,教,育,组,73,69,94.5,60,82.2,72,98.6,57,78.1,35,47.9,31,42.5,25,34.2,67,91.8,对,照,组,30,11,36.7,17,36.7,26,86.7,8,26.7,1,3.3,1,3.3,1,3.3,23,76.7,x2,值,37.76,20.58,425,24.14,1861,1520,1077,4.40,P,值,0.01,0.01,0.05,0.01,0.01,0.01,0.01,0.05,0.01,0.01,0.01,0.01,0.05,0.01,19,搞好哮喘教育管理改变医疗服务模式,表4 the control of Asthma 分组调白,表5 life quality evaluation for patients of Asthma,分,组,调查,人数,活动,受限,（60）,哮喘,症状,（40）,心理,状况,（30）,对刺激,原反应,（25）,对自身健,康的关心,（20）,哮喘生命,质量总分,（175）,教,育,组,56,506,373,273,242,173,15512,对,照,组,30,4410,316,235,214,134,13224,t,值,333,533,494,326,492,517,P,值,0.01,0.01,0.01,0.01,0.01,0.01,20,搞好哮喘教育管理改变医疗服务模式,表5 life quality evaluation f,搞好哮喘教育管理改变医疗服务模式培训课件,In 2006表7 patients knowledge&information level on Asthma,分,组,例,数,认为哮喘本质 是气道慢性炎症性疾病,例（）,认为持续期每日均应规律使用的一线药物是吸入型糖皮质激素,例（）,认为哮喘可以被长期控制,例（）,教,育,组,100,95(95%),95(95%),95(95%),对,照,组,427,2