上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（卫生事业管理） • 上一篇    下一篇

我国社区慢性病管理10年文献研究

张传政1，赵列宾1,2，仇晓春3，董 斌2   

  1. 上海交通大学 1.公共卫生学院, 上海 200025； 2.医学院附属瑞金医院糖尿病中心， 上海 200025； 3.医学院信息资源中心， 上海 200025
  • 出版日期:2013-09-28 发布日期:2013-09-29
  • 通讯作者: 赵列宾, 电子信箱: zhaoliebin@126.com。
  • 作者简介:张传政（1989—），女, 硕士生; 电子信箱: zhangchuanzheng1989@126.com。
  • 基金资助:

    上海申康医院发展中心课题（SHDC12012301）；中华医学会内分泌学分会课题（12020250315）；上海市卫生局基金（2012HP016）

Ten years literature study on chronic diseases management in community in China

ZHANG Chuan-zheng1, ZHAO Lie-bin1,2, QIU Xiao-chun3, DONG Bin2   

  1. 1.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China; 2.Center of Diabetes, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China; 3.Information Resource Center, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Online:2013-09-28 Published:2013-09-29
  • Supported by:

    Shanghai Shenkang Hospital Development Center Foundation，SHDC12012301; Chinese Society of Endocrinology Foundation，12020250315; Shanghai Municipal Health Bureau Foundation, 2012HP016

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摘要：

目的 研究我国社区慢性病防治管理现状和存在的问题，探讨社区慢性病管理策略，为更好开展社区慢性病管理提供科学依据。方法 应用文献分析法，分析2002—2012年在中国生物医学文摘数据库发表的相关文献，根据文献发表年限、地域分布、涉及问题，以及基于卫生系统绩效管理的对策开展分析和文献研究。结果 共纳入162篇文献，2009年之后相关文献的数量递增且内容趋于多样化，东部沿海省市发展相对较早，现状对策研究类占大部分，近年来管理模式探索类研究开始出现并逐渐增加。结论 目前社区慢性病防控存在的问题主要有社区医务人员数量不足、素质技能偏低、预算不足以及组织管理不完善等，可从加强培训、完善动力机制、探索支付和筹资手段、提升管理效率、提高临床技术和患者自我管理能力方面进行提高。

关键词: 慢性病, 社区卫生服务, 管理

Abstract:

Objective To investigate the status and explore the strategies for prevention and management of chronic diseases in community in China. Methods Literature review was employed to analyse the literatures published in Chinese Biomedical Literature Database between 2002 and 2012, and these papers were analysed by the year of publication, region, problems involved and strategies for health system performance management. Results A total of 162 literatures were enrolled in the study. After 2009, the number of literatures increased, and the contents trended to be diverse. Many provinces and cities in the eastern part of China carried out related studies earlier, which mainly concerned with status and strategies. However, the model of management has been explored in recent years. Conclusion The main problems of chronic diseases prevention and management in community are the shortage of number of medical staff, lower medical competency, insufficient budget and imperfection of organization of health resources. To improve the system, more training programs should be provided, better payment and financing mechanism should be explored, and effective organization, clinical skills and self management of patients should be enhanced.

Key words: chronic disease, community health service, management