Occupational Health Management And Effect Evaluation

Objective:With the objective to improve the health of occupational population, from the health control point of penetration for DM, risk factors existing in groups have to be analyzed and evaluated in order to provide individualized health management scheme. From the changes in measure indicators for health monitoring, its effects are evaluated and therefore effectiveness of integrated health management mode for occupational population has been quested from practice.Methods:The project was launched in May,2014. The professionals who were willing to participate in health management as intervention were selected at the sub district office of Jinrong street. According to the base-line data of the intervention group and also the screening software for DM patients from Beijing Hospital, People were divided into general population group (69), high risk group (78) and DM patients (32). Besides, based on the principles of the people’s age, gender and grouping them similarly, people from Huaxia Bank and ChinaUnion were selected as the control group in the same way as in the management group. Their group members were 72, 82 and 30 respectively. In total, there were 363. People in intervention group were given individualized prevention management on the basis of foundation knowledge for group health education by our health service team while people in control group were given only administration knowledge for population health management. The management work was completed in April,2015.The research (four parts) consisted of medical examination, biochemistry measurements, effective exercise monitoring and surveys relating to information on DM. The collected data include demographic characteristics of the objects of study, the initial management and related physiochemical and biochemical indexes (BMI, FPG, HbAlc, SBP, DBP, TG, TC, LDL-C, HDL-C), relative knowledge on DM, and rates of effective exercise in different periods.By using statistical description, t testchisquare test and other methods.we evaluated the impact the integrated health mode had on occupational population.Results:1. The management effect on general populationAfter the management, compared the changes of difference value of TG and TC in intervention group with those in control group, figures in control group increased a bit and the differences were of statistical significance (P< 0.05); the amount of effective exercise in intervention group increased than before (P< 0.05); rate of mastering relative knowledge on DM was apparently higher than that in control group.2. The effect on the high risk groupAfter the management, we compared the changes of difference value of BMI, TG, TC, and LDL-C in intervention group with figures in control group and knew the differences were significant (P< 0.05); SBP and DBP in both groups had no obvious changes than before (P>0.05); in the impaired fasting blood-glucose group, the added value of FPG in intervention group before and after the management was smaller than that in control group, but the reduction of 2hPG was larger than that in control group, which was significant (P<0.05); the amount of effective exercise in intervention group improved than before (P<0.05); rate of mastering relative knowledge on DM also improved than that in the beginning, and the difference of improvement rate was significant.3. The effective management for diabetic patientsAfter the management, in intervention group, changes of difference value of BMI, FPG, HbAlc, TG, TC and LDL-C were compared with those in control group, and the differences were of significance (P<0.05); rates of FPG in both groups were 81.25% and 46.67%respectively, and rates of reaching the standard of HbAlc were 81.25% and 43.33%respectively; from the two groups, the differences were significant. In intervention group; the amount of effective exercise and time taken improved than they were before (P<0.05); rate of mastering relative knowledge on DM was much higher than that in control group.4. Comparisons were made on effects among different groupsAfter the management one year later, changes of different value belonging to BMI, the amount of effective exercise, time for effective exercise, TG, TC and LDL-C in general population, high risk group and DM patients were of significance. The added value of the amount of effective exercise and time for effective exercise in DM patients and high risk group was lager than that in general population. The reduction of BMI, TG, TC and LDL-C in DM patients was larger than that in high risk group and general population. The differences were of significance. For the first half year of management, rates of reaching the standard of exercise had the tendency of going up in general population, high risk group and DM patients, while half a year later, the tendency for rate of exercise in DM patients was higher than that in high risk group and rate in general population showed a tendency of going down. Rate of mastering relative knowledge on DM in DM patients was obviously higher than that in general population, and high risk group; rate of mastering knowledge had no difference in high risk group and general population.Conclusion:With integrated health management combining technology resource from medical institution and health resource from community, and with the platform set up by functional unit, general practitioners who work as the backbone provide individualized management schemes to reduce effectively the risks on chronic diseases and improve the life mode for DM patients and high risk people, and also supply them with partial measurements and biochemical indicators. By making effective use of medical resource and improving the efficiency of work, with service and the directions given to people in time and the application coverage widely spread, this is suitable for the practice of the health of management for occupational population by functional community.