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南京医科大学学报（社会科学版）京医科大学学报（社会科学版） 第3期 总第104期
南
· 206 · Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2021年6月
Journal

Integration modes of treatment and prevention about chronic disease

and its implement obstacle in China

GUO Xuanying，YANG Fan
School of Health Policy and Management，Nanjing Medical University，Nanjing 211166，China
Abstract：Breaking the gap between“medicine”and“prevention”and realizing the integration of medicine
and prevention in an all⁃round and full cycle are the key measures for comprehensive prevention and control of
chronic diseases（NCDs）. Many areas put forward the integration of medicine and prevention in hypertension and
diabetes. The study concluded three typical modes which include the alliance of CDC+“city⁃county⁃community”，
the mode of administration planning⁃department in charge of⁃family doctor serving，and the integrated groups of
NCDs prevention and control. We analyzed obstacles such as lack of whole⁃process policies，overlapping and
dispersed institution functions，unreasonable medical insurance payment methods，inadequate performance
evaluation system and poor linkages between different information resources. We provided corresponding
strategies to improve the integration of medicine and prevention of NCDs in primary health care.
Key words：integration of medicine and prevention； management construction； payment method；

performance evaluation；information linkage