Status of outpatient service for cancer patients in Beijing Yuetan Community Health Service Center
10.3760/cma.j.issn.1671-7368.2019.10.014
- VernacularTitle: 北京市西城区月坛社区卫生服务中心恶性肿瘤患者门诊就诊现状分析
- Author:
Yan JI
1
;
Xue CHEN
;
Jing DING
Author Information
1. Yuetan Community Health Center, Fuxing Hospital, Capital Medical University, Beijing 100045, China
- Publication Type:Journal Article
- Keywords:
Malignancies;
Ambulatory care;
Family doctor service
- From:
Chinese Journal of General Practitioners
2019;18(10):977-981
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the outpatient service for patients with malignancies in Yuetan Community Health Service Center of Xicheng District in Beijing.
Methods:Two hundred and nine patients with malignancies visiting Yuetan Community Health Service Center in Beijing from January 2016 to January 2018 were included for analysis. There were 92 patients who visited fixed physicians (fixed group) and 117 patients who visited non-fixed physician (non-fixed group), and the influencing factors affecting fixed physician visit were analyzed.
Results:Of the 209 patients, 65 (31.10%) were males and 144 (68.90%) were females with a mean age of (69.4±10.0) year. There were 114 cases (54.55%) complicated with, hypertension 52 cases (24.88%) complicated with type 2 diabetes and 40 cases (19.24%) complicated with dyslipidemia. The mean number of visit per patients was (23.16±3.86) times; and the time of visits in fixed group was significantly higher than that in non-fixed group [(27.72±2.67) vs. (22.93±2.61), χ2=4.621, P=0.01]. The mean number of visit in 107 patients having contracted family doctor service was (25.64±7.60) times, while the time of visits in fixed group was significantly higher than that of the non-fixed group [(32.10±2.10) vs. (13.56±3.34), χ2=3.938, P<0.01]. Multivariate logistic regression analysis showed that hypertension (OR=0.445, 95%CI:0.213-0.971) and contracted family doctor service (OR=0.212, 95%CI:0.104~0.435) were significantly associated with fixed physician visits.
Conclusion:The outpatient visits of patients with malignant tumors in Yuetan Community Health Service Center meet the follow-up requirements for chronic diseases in the National Basic Public Health Service Regulations. The number of visits to fixed physicians is high, and patients with hypertension and contracted family doctor service have higher rate of fixed physician visits.