我国基层慢性病医防融合的多种实践形式与推进障碍
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南京医科大学

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国家自然科学基金 (71704083)\江苏省社科应用研究精品工程课题(19SYB-096)


Integration modes of treatment and prevention about chronic disease and its implement obstacle in China
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    摘要:

    破除“医”“防”之间的隔阂,实现全方位全周期的医防融合为慢性病综合防控的关键举措。各典型地区以高血压、糖尿病等慢性病为突破口,推进基层医防融合的实践工作。本文总结了各典型地区的疾控指导+“市-县区-社区”联合体、行政统筹-科室负责-家医履约、整合型慢病防控小组的三种实践形式,并且分析缺乏全环节整套医防融合政策供给、“医”“防”各方机构职能分散重叠、现行医保支付方式、医防融合运行的绩效评价尚未建立、卫生信息资源联结不足等阻碍了基层慢性病医防融合,在上述基础上进一步提出促进基层慢性病医防融合的相应策略。

    Abstract:

    Breaking the obstacle between treatment and prevention was to achieve the integration of treatment and prevention in chronic disease (NCDs )management. Many areas put forward the integration of treatment and prevention in hypertension and diabetes.The research concludes three typical modes which include prevention center+“city-county-communty” union, “administration planning-department in charge-family doctor serving” and integrated groups of NCDs .We analyzed some obstacle factors such as the lack of whole-process policies,the overlapping and dispersed institution functions,unreasonable health care payment methods,inadequate performance evaluation system and poor linkages of information resources.Therefore,we provide some strategies to improve the integration of treatment and prevention in NCDs.

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  • 收稿日期:2020-12-02
  • 最后修改日期:2021-01-30
  • 录用日期:2021-06-22
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