• Original article (Public health administration) • Previous Articles     Next Articles

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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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