社区高血压健康管理的现状与对策

The problem of community-level hypertension management: status quo and countermeasures

高血压规范化管理虽已践行多年,但我国高血压的"三高"、"三低"现状仍未得到根本性改变。只有始终不懈地采取坚持以政府主导、部门合作、社会参与的原则,增加政府公共投入,拓宽社会筹资渠道,建立通畅、互利、有效地双向转诊机制,加强全科人才培养,建立全科医疗团队,积极开展社区健康教育,提高患者自我管理能力,强化监督监测,实行考核评价等多项举措,积极推进社区高血压规范化管理,才能有效控制高血压的"三高"、改善"三低"。

Standardized management of hypertension has been practiced for many years in China,but the problem of hypertension（high prevalence,high morbidity,high mortality and low awareness,low management efficiency,low control rate） in China still remains intractable.The solution to the problem in question counts on orchestrated efforts where the government＇s leadership,the cooperation among relevant departments as well as social participation are essential.Increase of the government＇s public investment,widening of financing channel,establishment of a smooth,mutually beneficial and effective two-way referral system,strengthening of general training,establishment of general medical team,community health education,enhancement of patient self-management ability,strengthening of supervision and monitoring,and assessment can also actively promote the management of hypertension in community.