家庭医生签约服务模式在农村老年高血压患者中的研究进展

Research Progress on the Family Doctor Contract Service Model for Elderly Hypertensive Patients in Rural Areas

摘要: 本研究综述了家庭医生签约服务模式在农村地区老年高血压患者中的重要性和影响因素。高血压在农村地区的老年人中具有相对较高的患病率，但由于生活方式和医疗资源有限等挑战，早期筛查和有效管理受到限制。研究发现，家庭医生签约服务模式能够提供更连续和全面的医疗护理，改善高血压管理。本研究从家庭医生签约服务的概念、国内外发展动态、影响因素等方面进行了综述，为相关研究提供了有力支持和未来发展方向。家庭医生签约服务模式在高血压管理中具有潜在益处，但需要解决医疗资源可及性、患者教育水平、生活方式和社会支持、经济状况、医疗保险覆盖等因素。为应对这些挑战，需要政府、医疗机构和研究者共同努力，提高医疗资源、健康教育、政策支持、互联网医疗技术应用等，以改善农村地区高血压患者的医疗服务和管理水平。未来的研究可以探讨不同地理和文化背景下的适用性，深入分析满意度和成本效益，以及整合远程医疗服务和电子健康记录等方面。这些工作将有助于完善和扩展家庭医生签约服务模式在老年高血压患者中的应用。

Abstract: This study provides an overview of the importance and influencing factors of the family doctor contract service model for elderly hypertensive patients in rural areas. Hypertension has a relatively high prevalence among the elderly in rural areas, but early screening and effective management are limited due to challenges such as lifestyle and limited medical resources. The study found that the family doctor contract service model can provide more continuous and comprehensive healthcare, improving hypertension management. This research reviews the concept of family doctor contract services, domestic and international development trends, and influencing factors, providing strong support and future directions for related studies. The family doctor contract service model offers potential benefits in hypertension management but requires addressing factors such as the accessibility of medical resources, patient education levels, lifestyle and social support, economic status, medical insurance coverage, etc. To address these challenges, cooperation among governments, healthcare institutions, and researchers is needed to enhance medical resources, health education, policy support, the application of internet medical technologies, and more, to improve healthcare services and management for rural hypertensive patients. Future research can explore the applicability in different geographical and cultural contexts, conduct in-depth analyses of satisfaction and cost-effectiveness, and integrate remote medical services and electronic health records, among other aspects. These efforts will contribute to refining and expanding the application of the family doctor contract service model for elderly hypertensive patients.