摘要
中国是全球糖尿病患病率增长较快的国家之一,也是糖尿病患者最多的国家。《“健康中国2030”规划纲要》明确提出,要进一步防控重大疾病,实施糖尿病防治行动,指导糖尿病患者加强健康管理,延迟或预防糖尿病发生、发展。近20年来,价值共创理论在健康服务领域应用发展较好,不同国家(地区)探索低成本、高效果的方案以预防和控制糖尿病发生,但目前在国内慢性病管理领域较为缺乏。本文基于价值共创视角,以基层社区为研究分析点,进一步总结国内外慢性病管理经验,从主动健康、组织引导、数字技术、激励考核4个方面提出展望,为优化完善基层糖尿病管理的服务体系,建立基于价值共创的多元主体协同参与社区慢性病管理模式,实现慢性病管理的共创、共治、共享提供参考。
China is one of the countries with the fastest growing prevalence of diabetes in the world,and also has the largest number of people with diabetes.The"Health China 2030"plan clearly proposes to further prevent and control major diseases,implement diabetes prevention and control,and guide patients with diabetes to strengthen health management and delay or prevent the development of diabetes.In the past 20 years,value co-creation theory has been well developed in the field of health services,and different countries(regions)have explored programs to prevent and control diabetes at low cost and high effectiveness,but it is currently lacking in the field of chronic disease management in China.Based on the perspective of value co-creation,this paper further summarizes the domestic and international experience of chronic disease management taking community as the research and analysis point,proposes the prospect from four aspects of active health,organizational guidance,digital technology,and incentive assessment,which provides references for optimizing and improving the service system of diabetes management at primary health care,establishing a model of collaborative participation of multiple subjects in community chronic disease management based on value co-creation,and realizing co-creation,co-management and sharing of chronic disease management.
作者
牛路瑶
营心语
张树琴
安志新
季婧雅
刘跃华
高月霞
NIU Luyao;YING Xinyu;ZHANG Shuqin;AN Zhixin;JI Jingya;LIU Yuehua;GAO Yuexia(School of Public Health,Nantong University,Nantong 226019,China;Pingchao Central Health Service Center,Tongzhou District,Nantong 226300,China;Institute for Healthy China,Tsinghua University,Beijing 100084,China)
出处
《中国全科医学》
北大核心
2024年第5期563-569,588,共8页
Chinese General Practice
基金
国家社会科学基金资助项目(22ZDA030)
南通市科技计划资助项目(MS12021062)。
关键词
糖尿病
慢性病管理
价值共创
社区卫生服务
综述
Diabetes mellitus
Chronic disease management
Value-co-creation
Community health services
Review
作者简介
通信作者:刘跃华,副研究员,E-mail:liu_yuehua@163.com;通信作者:高月霞,教授,E-mail:yxgao@ntu.edu.cn。
