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家庭医生签约服务对老年人非传染性疾病管理的影响：一项系统评价与Meta分析

Effect of family doctor contract services on non-communicable disease management among the elderly: a systematic review and meta-analysis.

作者信息

Wu Rong, Fei Fei, Lu Tingting, Zhu Jing, Hu Dan

机构信息

Department of Scientific and Technology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

Department of Oncology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

出版信息

Front Health Serv. 2025 Mar 28;5:1462806. doi: 10.3389/frhs.2025.1462806. eCollection 2025.

DOI:10.3389/frhs.2025.1462806
PMID:40224905
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11985813/
Abstract

OBJECTIVE

The aim of this meta-analysis was to examine the effect of family doctor contract service on managing non-communicable diseases (NCDs) among elderly patients.

METHODS

Chinese and English articles published up to 15 July 2022 were systematically searched. Relevant randomized controlled studies (RCTs) were extracted from seven databases: PubMed, Coherence, Embase, Web of Science, CNKI, Wanfang Data, and WeiPu. All these studies have evaluated the effect of family doctor contract services on chronic disease management among the elderly. A meta-analysis was conducted using either random or fixed effects. Mean difference and risk ratio were used to analyze quantitative and qualitative data, respectively.

RESULTS

We identified that 25 independent studies, involving 4,046 elderly patients with chronic diseases across China, were eligible for meta-analysis. The results from these RCTs indicated that family doctors could disseminate knowledge about NCDs to elderly patients, improve their disease management abilities (including drug compliance, healthy diet, regular exercise, non-smoking, and non-drinking), lower blood pressure and blood glucose levels, reduce BMI, and increase quality of life and patient satisfaction ( < 0.05).

CONCLUSION

Family doctor contract services could improve health management for elderly patients with NCDs and should be promoted in China.

摘要

目的

本荟萃分析旨在探讨家庭医生签约服务对老年患者非传染性疾病（NCDs）管理的影响。

方法

系统检索截至2022年7月15日发表的中英文文章。从七个数据库中提取相关随机对照试验（RCTs）：PubMed、Coherence、Embase、科学网、中国知网、万方数据和维普。所有这些研究均评估了家庭医生签约服务对老年人慢性病管理的效果。采用随机或固定效应进行荟萃分析。分别使用平均差和风险比来分析定量和定性数据。

结果

我们确定有25项独立研究符合荟萃分析的条件，涉及中国各地4046名老年慢性病患者。这些随机对照试验的结果表明，家庭医生可以向老年患者传播非传染性疾病知识，提高他们的疾病管理能力（包括药物依从性、健康饮食、定期锻炼、不吸烟和不饮酒），降低血压和血糖水平，降低体重指数，并提高生活质量和患者满意度（P<0.05）。

结论

家庭医生签约服务可以改善老年非传染性疾病患者的健康管理，应在中国推广。

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