摘要
老年人慢性非传染性疾病(慢病)管理模式关系到患者的转归和结局,国外慢病管理的主要优势是由医疗保险负担,医疗机构在有限范围内互联互通,基层卫生工作人员主导,患者积极参与;国内虽然在形式上包含了社区慢病管理,也出台了指导性文件,但在政策落地、信息系统、社区资源和患者教育等方面仍需要改进。
The management model of chronic noncommunicable diseases(chronic diseases)in the elderly is related to the outcome and outcome of patients.The main advantages of chronic disease management in foreign countries are the burden of medical insurance,the interconnection of medical institutions in a limited scope,the primary health workers leading,and the active participation of patients.Although the form of chronic disease management in the community is also included in China and guidance documents have been issued,there is still a need for improvement in policy implementation,information system,community resources and patient education.
作者
孙雪林
钱东方
张子轩
胡欣
金鹏飞
Sun Xuelin;Qian Dongfang;Zhang Zixuan;Hu Xin;Jin Pengfei(Department of Pharmacy,Beijing Hospital,National Center of Gerontology,Beijing Key Laboratory of Clinical Risk and Personalized Application Evaluation of Drugs(Beijing Hospital),Institute of Gerontology,Chinese Academy of Medical Sciences,Beijing 100730,China;North Medicine and Health Economics Research Center,Beijing 100021,China)
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2022年第5期614-618,共5页
Chinese Journal of Geriatrics
基金
国家重点研发计划资助(2020YFC2009000,2009001)
军队保健专项课题(20BJZ47)。
关键词
慢性非传染性疾病
疾病管理
Chronic disease management
Disease management
作者简介
通信作者:金鹏飞,Email:j790101@163.com。
