慢性病管理评估体系之临床信息系统介绍

Introduction of Clinical Information System of Assessment of Chronic Illness Care

随着人口老龄化速度的加剧，人群慢性病的患病率也随之增长，慢性病给社会造成了极大的经济负担与疾病负担。欧美国家的卫生保健部门主要基于慢性病管王里模式提出的概念框架以及在此基础上构建的慢性病评估体系开展慢性病的管理与评估工作并取得了显著成效。鉴于国内对慢性病管理模式与慢性病评估体系的相关信息报道较少以及慢性病的监测与信息管理工作在国内也日益受到重视，本文主要对慢性病评估体系包含的六大评估体系之临床信息系统进行介绍，为国内慢性病的管理工作提供一些方法学方面的指导。

With advancing in age prevalence of chronic diseases also increases and chronic diseases causes great economic burden and disease burden to the community. In Western countries, Health care sectors carry out chronic disease management and assessment mainly based on the framework of concept of chronic disease management model （CCM） and Assessment of Chronic Illness Care （ AC- IC） built on the basis of CCM and have achieved remarkable results. In view of less reporting of CCM and ACIC and the increasing importance in the monitoring and information management of chronic disease in the country, this article introduces clinical information systems of one of six fields of the ACIC system in order to provide some methodological guidance for management of chronic diseases in our country.