摘要
慢性病严重威胁我国居民健康,有效的慢性病管理可以很大程度上减少疾病的危害,互联网医疗的发展为慢性病管理提供了良好契机。通过文献研究,本文回顾了国内外互联网慢性病管理的经验和模式,基于世界卫生组织(World Health Organization,WHO)提出的创新型慢性病照护框架(innovative care for chronic conditions framework,ICCC),从宏观、中观、微观3个层面上分析了互联网慢性病管理的问题,并立足于我国互联网慢性病管理的实际,提出互联网慢性病管理的对策建议。宏观层面上政府应结合互联网慢病管理的试点经验,完善国家配套政策制度;中观层面上社区卫生机构应增加社区资源投入,强化社区机构在互联网慢性病管理的能力;微观层面上需提高患者(及家庭)的慢性病自我管理能力,调动自身参与性和主动性,促进患者自我管理。
Chronic diseases seriously threaten the health of Chinese residents,effective chronic disease management can greatly reduce the harm of diseases,the development of Internet medical treatment provides a good opportunity for chronic disease management.Through literature research,the experience and model of Internet chronic disease management at home and abroad are reviewed,and based on the innovative care for chronic conditions framework(ICCC)framework proposed by the World Health Organization(WHO),the problems of Internet chronic disease management are analyzed from the macro,meso and micro levels.Based on the reality of Internet chronic disease management in China,countermeasures and suggestions for Internet chronic disease management are put forward.At the macro level,the government should combine the pilot experience of Internet chronic disease management to improve the national supporting policy system;at the meso level,community health institutions should increase community resource input and strengthen the ability of community institutions in Internet chronic disease management.At the micro level,it is necessary to improve the self-management ability of patients(and families)of chronic diseases,mobilize their own participation and initiative,and promote patients′self-management.
作者
蒋自程
李德勋
刘欢
傅志婷
王宁宁
李晨光
JIANG Zicheng;LI Dexun;LIU Huan;FU Zhiting;WANG Ningning;LI Chenguang(School of Pharmaceutical Economics and Management,Anhui University of Traditional Chinese Medicine,Hefei 230012,China;Hefei Provincial Key Laboratory of Philosophy and Social Sciences,Data Science and Traditional Chinese Medicine Innovation and Development,Hefei 230012,China;Yantai Center for Disease Control and Prevention,Yantai 264003,China;The First Affiliated Hospital of USTC West District(Anhui Cancer Hospital),Hefei 230031,China;Medical Insurance Office of the Third People′s Hospital of Fuyang,Hefei 236000,China)
出处
《济宁医学院学报》
2023年第6期430-435,共6页
Journal of Jining Medical University
基金
安徽省高校协同创新项目(GXXT-2022-095)
安徽省科协决策咨询项目(2023jczx26)
安徽省高校科研项目(2023AH050717)。
关键词
慢性病
互联网
ICCC框架
慢性病模式
问题
对策
Chronic Diseases
Internet
ICCC
Chronic disease patterns
Lssue
Countermeasure
