社区综合非传染性疾病服务模式:中国的经验教训
Hongyi Xu1,2, Min Liu3,2, Yamin Bai3
1World Health Organization, Department of Noncommunicable Diseases, Rehabilitation and Disability, Geneva, Switzerland.
Journal of global health
|October 3, 2025
概括
中国中国中国中国.
科学领域:
- 公共卫生 公共卫生
- 医疗服务研究 医疗服务研究
- 非传染性疾病 非传染性疾病
背景情况:
- 综合医疗服务对于低收入和中等收入国家 (LMICs) 的初级医疗保健至关重要,以管理非传染性疾病 (NCDs).
- 有限的证据存在于有效的NCD护理交付模式和LMIC中的可扩展性.
- 中国卫生系统转向对非传染性疾病的初级保健提供了一个相关的案例研究.
研究的目的:
- 检查中国社区集成的NCD服务模式.
- 提供关于中国将卫生服务重定向为非传染性疾病的初级护理的战略的证据.
- 为其他面临非传染性疾病流行病的LMIC提供见解.
主要方法:
- 来自五个数据库 (英语和中文) 的20项研究的系统审查.
- 基于慢性护理模型和世卫组织PEN干预的叙事和主题证据综合.
- 分析优先疾病,干预措施,交付策略,利益相关者的角色,挑战,结果和差距.
主要成果:
- 尽管资源有限,中国已经试用了各种社区级综合NCD服务模式,并扩大了规模.
- 关键干预措施包括健康促进,查,分层护理,患者教育,自我管理和数字健康.
- 由地方政府和医院支持的家庭医生和护士是关键提供者,从而改善了患者的治疗途径和治疗结果.
结论:
- 中国的社区综合性NCD模型为LMICs提供了宝贵的教训,强调全民健康覆盖和综合公共卫生/初级保健.
- 优化可访问性,效率和以患者为中心是成功的关键因素.
- 未来的研究应该探讨长期影响和可持续性,特别是在农村地区.
相关概念视频
01:26Methods Of Healthcare Delivery System
4.0K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.0K
01:30Community Based Intervention
277
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
277
01:18Models of Health Promotion and Illness Prevention II
2.0K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
2.0K
01:25Models of Health Promotion and Illness Prevention I
2.7K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.7K
01:15Methods of Documentation VI: Case Management Model
860
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
860
01:30Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K