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| Community diagnosis and treatment management and efficacy evaluation of allergic rhinitis in children under medical alliances model |
| MO Dandan1,2, BAO Min1, WANG Yanping1, LU Ping1, TANG Huiyun1, DONG Wenfang2, CHEN Jiande2, WU Jinhong2 |
1. Jinyang Community Health Service Center, Pudong New Area, Shanghai 200136, China; 2. Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China |
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Abstract Objective To investigate the effectiveness of community diagnosis and treatment management of allergic rhinitis in children under the medical alliances model. Methods The study included patients diagnosed with allergic rhinitis who visited Shanghai Children’s Medical Center（SCMC group, 114 cases）and Jinyang Community Health Service Center（JINYANG group, 111 cases）from July 2022 to June 2023. The patients received standardized diagnosis and treatment model in progress of diagnosis, treatment, and follow-up. Visual analog scale（VAS）and mini rhinoconjunctivitis quality of life questionnaire（mRQLQ）were used monthly to assess disease severity and treatment plans were adjustedsubsequently. We analyzed and compared the treatment outcomes（VAS and mRQLQ scores）, medical expenses, time spent on medical treatment, and satisfaction with medical treatment between the two groups. Results After 3 months of follow-up management, there was no statistically significant difference in VAS scores between the two groups（P>0.05）. The mRQLQscores in the JINYANG group were significantly better than those in the SCMC group（P<0.01）. Compared with baseline data, the VAS scores [2（2,3）vs 7（6,8）; 2（2,3）vs 6（6,7）] and mRQLQ scores [（4.21±1.21）vs（35.31±7.29）;（3.64±1.18）vs（37.32±6.82）] in the SCMC group and the JINYANG group showed significant improvement（P<0.05）. The average single outpatient expenses for the SCMC group and the JINYANG group were（305±29.8）yuan and（159±21.9） yuan, respectively（P<0.05）. The average single visit duration was 3 h and 1 .5 h, respectively, and the satisfaction rates were 95% and 99%, respectively. Conclusion The standardized diagnosis and treatment of allergic rhinitis in community hospitals can achieve similar results as tertiary hospitals, while reducing costs, saving treatment time, and achieving higher patient satisfaction.
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