上海交通大学学报（医学版）

上海交通大学学报（医学版）

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丹麦医疗保障制度的慢性病管理探索实践

周建再 1，代宝珍 2, 3，吴秉羲 2   

  1. 1.江苏大学财经学院金融系，镇江 212013；2.江苏大学管理学院公共管理系，镇江 212013；3.约翰.霍普金斯大学公共卫生学院卫生政策与管理系，美国巴尔的摩 21205-2179
  • 出版日期:2016-12-28 发布日期:2016-12-29
  • 通讯作者: 代宝珍，电子信箱：hixiaodai@sina.com。
  • 作者简介:周建再（1978—），男，讲师，博士；电子信箱：zjzstone@sina.com。
  • 基金资助:

    国家自然科学基金（71203080）；中国博士后科学基金特别资助(2015T80520)；江苏省“六大人才高峰”第十一批高层次人才项目（2014-JY-004）

Exploration and practice of chronic disease management in Danish medical security system

ZHOU Jian-zai1, DAI Bao-zhen2, 3, WU Bing-xi2   

  1. 1. Department of Finance, School of Finance & Economics, Jiangsu University, Zhenjiang 212013, China; 2.Department of Public Management, School of Management, Jiangsu University, Zhenjiang 212013, China; 3. Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore 21205-2179, USA
  • Online:2016-12-28 Published:2016-12-29
  • Supported by:

    National Nature Science Foundation of China, 71203080; China Postdoctoral Science Foundation, 2015T80520; 2014 “Six Talent Peaks” Project of Jiangsu Province,2014-JY-004

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摘要：

慢性病引起的高额医疗费用危及我国医疗保障制度的可持续发展。丹麦医疗保障制度的慢性病管理探索取得了较好的健康效果，其中详细规划慢性病管理实施路径和服务内容、严格规范其服务流程、科学设定相关评价体系以及补偿标准等是其取得成功的主要原因。该文系统性总结和归纳丹麦医疗保障制度慢性病管理探索实践历程，为我国城乡社会医疗保障制度慢性病管理计划的构建提供参考。

关键词: 医疗保障制度, 慢性病管理, 部门合作, 改革, 探索

Abstract:

High medical expenditure for chronic diseases threatens the sustainability of Chinese medical security system. The chronic disease management in Danish medical security system has achieved favorable results. Detailed planning for implementation methods and service content of chronic disease management, strictly regulating the process, and reasonably formulating related evaluation system and compensation standards are main reasons to success. This article systematically summarizes the exploration and practice of chronic disease management in Danish medical security system and provides reference for establishing chronic disease management in Chinese medical security system.

Key words: medical security system, chronic disease management, multi-sectoral collaboration, reform, exploration