慢病防治在控制医疗费用中的作用和策略

The Role and Strategy of Chronic Disease Control and Prevention in Regulating Medical Expenses

高医疗服务需求与低经济承受水平之间的矛盾是我国医改的一个根源性问题。而随着疾病谱的改变,慢性病已成为头号健康威胁,通过增加医疗服务需求促使根源性矛盾恶化,导致医疗费用迅猛增长、医保控费压力增大、百姓"看病难、看病贵"问题难以解决,加强慢病防治成为当前一个重要工作。传统的群防群治的方法难以在个体层面真正实现慢性病的早发现、早干预、早治疗,必须依托社区卫生服务和家庭医生的力量向个防个控转变。

The contradiction between the high medical needs and low economical affordability is the fundamental problem of Medical Reform in China. With the changes of spectrum of disease in China, chronic diseases have become the primary threat of health. It increases the demands for medical services, promotes the deterioration of the fundamental contradiction, and leads to the rapid growth of medical cost, large pressure of health insurance expenses control, the difficulties in solving the problem of poor access and high cost in health care. Therefore, prevention and control of chronic diseases has become a key task to deal with these problems. The traditional method of controlling and preventing chronic diseases on the group level is difficult to bring the target of early detection, early intervention and early treatment to the individual level. So it must rely on the force of community health service and family doctors to change the intervention from group level to individual level.