摘要
文章介绍上海市在脑卒中、高血压、糖尿病3种慢性病防治领域单病种整合医疗服务的做法,总结经验并分析存在的问题,提出完善慢性病单病种整合医疗卫生服务体系的建议。采用现场调查和描述性分析方法。选择发病率高且可预防的脑卒中、高血压、糖尿病,分别建立了预防-治疗-康复防治模式,依托数据信息平台形成了规范化的整合服务流程,基层服务人员技能得到提升。同时,也显现了整合医疗服务体系不完善、激励机制不健全以及基层服务人员能力有待提升等问题。上海市在单病种整合医疗服务体系方面的探索总体上是成功的,下一步急需健全服务体系,完善保障和激励机制,进一步提升基层服务人员的服务能力。
To describe the integrated practices of stroke,hypertension and diabetes in Shanghai respectively.To summarize experiences and analyse problems,and put forward related suggestions.An on-site survey and descriptive analysis were applied in the study.The preventable single disease with high incidence was chosen.The model of preventiontreatment-rehabilitation was established.Standardized integrated health service procedure was built based on the data platform.During the practice,the ability of staff in primary health centers has been improved.However,the integrated service system was imperfect,especially the development of the incentive mechanisms and staff ability in primary health centers.The integrated practice of the single chronic disease is generally successful in Shanghai.And support is still needed in terms of incentive mechanisms and personnel capacity-development in primary health centers.
作者
陈秀芝
李芬
陈多
朱碧帆
王常颖
杨婷婷
顾淑玮
金春林
CHEN Xiu-zhi;LI Fen;CHEN Duo;ZHU Bi-fan;WANG Chang-ying;YANG Ting-ting;GU Shu-wei;JIN Chunlin(Shanghai Health Development Research Center(Shanghai Medical Information Center),Shanghai 200040,China;School of Public Health,Fudan University,Shanghai 200032,China;School of Economics and Management,Jiangxi University of Traditional Chinese Medicine,Nanchang 330000,Jiangxi China)
出处
《中国卫生资源》
北大核心
2019年第6期425-429,共5页
Chinese Health Resources
基金
国家卫生健康委员会委托项目“整合型医疗卫生服务体系框架及典型地区研究”(2018008B)
关键词
慢性病
单病种
整合医疗卫生服务
脑卒中
高血压
糖尿病
chronic disease
single disease
integrated health care
stroke
hypertension
diabetes
