摘要
目的:为提高我国慢性病防控管理能力提供建议。方法:通过研究国际常用慢性病管理模型及国外典型国家(美国、芬兰、新加坡)的慢性病防控机制,总结国外慢性病防控经验,并提出其对我国的启示。结果与结论:慢性病护理模型和慢性病创新照护框架是国际上最具影响的两种慢性病管理模型。针对慢性病管理,美国提出了健康社区计划、芬兰建立了北卡项目、新加坡推出了全科医师初级护理网络计划。国外慢性病防控经验包括政府顶层设计保障慢性病防控机制顺利运行、广泛的多元合作促进防控工作的实施、基于社区开展多形式的健康促进活动、通过信息技术的支撑助力慢性病防控全程管理。我国在完善慢性病防控管理方面,政府应发挥主导作用、建立多部门协作联动机制,加强健康教育与健康促进、突出慢性病一级预防理念,推进慢性病管理信息化建设,加强全科医师的培养建设,推广政府和社会资本合作示范项目建设、释放社会投资潜力,以切实提高我国慢性病防控管理能力。
OBJECTIVE:To provide suggestions for improving the management ability of chronic disease prevention and control in China.METHODS:Through studying international common chronic disease management model and chronic disease prevention and control mechanism of typical foreign countries(the United States,Finland,Singapore),the experience of foreign chronic disease prevention and control were summarized and the enlightenment to China was put forward.RESULTS&CONCLUSIONS:The chronic care model and innovative care for chronic conditions framewark are the most influential chronic disease management model in the world.Referring to chronic disease management,the United States put forward healthy community plan;Finland established North karelia project;Singapore put forward primary nursing network plan of general practitioner.The experience of foreign chronic disease prevention and control include that top-level of government ensure smooth operation of chronic disease prevention and control mechanism;multiple forms of community-based health promotion were carried out;the implementation of information technology supported the whole process of chronic disease prevention and control.In perfecting the management of chronic disease prevention and control,it is necessary to give full play to the leading role of the government,establish a multi-section collaboration mechanism,strengthen health education and promotion,highlight the concept of primary prevention of chronic diseases,promote information construction of chronic disease management,strengthen the construction of general practitioners training,promote the construction of Public private partnership demonstration projects,release the potential of social investment and improve the ability of preventing and controlling chronic diseases in China.
作者
王莹
徐志祥
张彩霞
WANG Ying;XU Zhixiang;ZHANG Caixia(The First Affiliated Hospital of Henan University,Henan Kaifeng 475002,China;School of Nursing and Health,Henan University,Henan Kaifeng 475004,China)
出处
《中国药房》
CAS
北大核心
2018年第15期2021-2026,共6页
China Pharmacy
基金
河南省医学科技攻关计划项目(No.201404021)
关键词
慢性病
管理模式
慢性病护理模型
慢性病创新照护框架
国际经验
启示
Chronic disease
Management model
Chronic care model
Innovative care for chronic conditions framewark
International experience
Enlightenment
