国外社区健康管理发展状况及对我国的借鉴分析

旦增措姆; 刘翔; 陈红; 田佳禾; 曹子龙; 陈怡绮; 王朝昕; 俞文雅

doi:10.16766/j.cnki.issn.1674-4152.003011

国外社区健康管理发展状况及对我国的借鉴分析

doi: 10.16766/j.cnki.issn.1674-4152.003011

1.
上海交通大学医学院公共卫生学院, 上海 200025
2.
中国人民解放军联勤保障部队第903医院呼吸内科，浙江杭州 310013
3.
海南医学院管理学院，海南海口 570216

基金项目:

国家自然科学基金项目 72104140

国家自然科学基金项目 82101870

上海市浦江人才计划项目 2021PJC083

上海市2021年度“科技创新行动计划”软科学项目 21692191300

上海市2021年度“科技创新行动计划”软科学项目 23692115000

浙江省自然科学基金项目 LQ21H-100001

杭州市卫生科技计划项目 B20220431

详细信息

通讯作者:
俞文雅，E-mail: jsjyyuwenya@sina.cn

中图分类号: R197.61
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- 文章访问数: 631
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- PDF下载量: 91
- 被引次数: 0
出版历程
- 收稿日期: 2022-12-09
- 网络出版日期: 2023-08-26

The global development of community health management and its reference to China

1.
School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China

摘要

摘要: 随着疾病谱和死因谱的变化、人口老龄化的加剧、慢性病患病率的增长和年轻化以及后疫情时代的特殊性，我国居民的健康观念发生重要改变，对医疗保健的需求日益增长；传统的专科化和系统化的医疗服务已难以满足人们对健康的多方面需求。社区健康管理基于不同健康状况的人群的健康需求，依托成熟的社区卫生服务体系，收集居民的健康信息并进行分析与评估，为居民提供专业的健康指导与干预，成为解决我国人民不断上涨的医疗卫生服务需求和控制医疗费用不合理增长的关键突破口。虽然近10年我国社区健康管理不断发展，但尚处于初期探索阶段，仍然缺乏一套适合我国发展的社区健康管理模式和具体方案；而国外社区健康管理起源和发展半个多世纪以来，在多个国家形成了成熟有效的模式。因此，本研究旨在分析以英国、美国、德国、日本等国家为代表的健康管理模式理论、实践与发展特征，结合国外社区健康管理实践项目案例分析，从理论和实践两个角度，剖析不同模式的优势及发展特征，分析评估实践项目的特征与效果。基于此，深度探讨我国社区健康管理模式的发展现况、特征与存在的问题，并借鉴国外社区健康管理模式，为更精准地探索适合我国国情和现实需求的社区健康管理模式提供理论依据和方向。
- 社区 /
- 健康管理 /
- 全科
Abstract: With the change in the spectrum of diseases and causes of death, the aggravation of population aging, the increasing prevalence rate of chronic diseases, and the particularity of the post-epidemic era, the health concept of Chinese residents has changed significantly, and the demand for healthcare is growing gradually. Traditional specialized and systematic medical services have been unable to meet people' s various needs for health.Community health management is based on the health needs of people with different health conditions, relying on a mature community health service system to collect, analyze, and evaluate residents' health data, which helps provide professional health guidance and intervention for residents. It has become a key breakthrough in dealing with the rising demand for healthcare and controlling the unreasonable growth of medical expenses in China. Although community health management in China has kept continuous development in the past decade, it is still in the very early stage and lacks a suitable model and specific proposal. However, community health management in other countries has been rising and developing for more than half a century, and there have been several mature and effective models in various countries. Therefore, through analyzing the theories, practice, and development characteristics of health management models in some representative countries (e.g., the United Kingdom, the United States, Germany, and Japan), and conducting case analysis of foreign community health management practice projects, this study aims to analyze the advantages and development characteristics of different community health management models from both theoretical and practical perspectives and analyze and evaluate the characteristics and effects of practice projects. Based on these analyses and combined with foreign community health management models, this study will deeply explore the current development status, characteristics, and existing problems of community health management models in China, which will provide theoretical evidence and direction for more accurate community health management models suitable for national conditions and practical needs in China.
- Community /
- Health management /
- General practice medicine

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