Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-05-05 Cooperative journals: 《中国全科医学》
Abstract： Background In China，the governance of public health by the public health committee，a grassroots mass autonomous organization，is a new approach managing public health services in primary care. Many regions are exploring governance models of public health by the public health committee，aiming to make it a key hub to realize the vertical connection and horizontal linkage grid management of grassroots communities. Objective To analyze the policy documents related to the construction of local public health committees of various regions in China using policy document analysis，so as to provide a reference for improving the primary-level public health governance system and governance capacity. Methods In March 2022，we searched policy documents related to the construction of public health committees on the official websites of the local governments and health commissions of eight sample regions（Beijing，Guangdong，Chongqing，Shandong，Anhui，Guizhou，Gansu，and Ningxia Hui Autonomous Region） in which village（residential） public health committees have been constructed using "public health committee" as the key search term. Through literature review and policy document analysis，an analytical framework for the governance system of the public health committee was constructed. Nvivo 11 plus was used for word frequency and coding analyses of the included policy literature. Results A total of 15 policy documents and 2 guidance manuals for the work of public health committees were ultimately included. Word frequency analysis showed that the five words，"hygiene" "public" "work" "committee" and "health"，appeared most frequently，indicating that the selected policy literature conformed to the research theme. By using the analytical framework，the st6ructural dimensions of the policy literature were determined，including four root nodes，namely，governance subjects，governance mechanisms，institutional guarantees，and capacity building，and 13 sub-nodes. There are 208 reference points for governance subjects，48 reference points for governance mechanisms，57 reference points for institutional guarantees，and 87 reference points for capacity building. Conclusion The local policy documents of the sample regions cover the contents of the four dimensions，but have different focuses. According to the framework in this study，further construction of the public health committee needs to set certain admission criteria with clear determination of rights and responsibilities for new committee members，establish an effective cooperation and communication mechanism，improve the system guarantee and provide financial and technical support.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-01-03 Cooperative journals: 《中国全科医学》
Abstract：
Background Hypertension as a risk factor can significantly increase the morbidity and mortality of cardiovascular and cerebrovascular diseases, and effective control of hypertension is the key to prevent and treat cardiovascular diseases. Objective Collect literature on the evaluation of the effectiveness of hypertension management models in China. Evaluate the management effects of different models and provide a reference for further optimization of hypertension management models. Methods Using StataSE-64, a network meta-analysis of the 18 included hypertension management model papers was performed using blood pressure control rates as an evaluation metric. The models included five models: joint hospital-community management, community management, hospital treatment management, general management, and combined Internet management. Results Joint hospital-community management, community management, hospital management, and combined Internet management are all effective for hypertension control. The order is joint hospital-community management ≈ combined Internet management > hospital treatment management > community management > blank control. Among them, the joint hospital-community management model has significant effect on hypertension control; the joint hospital-community management model and combined Internet management has similar effect; and hospital management has better effect than community management. Conclusion In order to improve the hypertension management model, the construction of hospital-community-family management model in primary health care institutions should be promoted, and the combination of chronic disease management model and combined Internet model should be guided to strengthen the whole-life, whole-cycle management of chronic disease patients.
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