国际慢性病管理理论模型对我国的启示

The Enlightenment of the International Theoretical Model of Chronic Disease Management to China

目的为我国慢性病管理体系的发展完善提供建议。方法运用文献研究法,梳理和分析国际上最具影响力的慢性病管理理论模型。结果慢性病管理理论模型基于实践提炼得到;国际上流传最广的慢性病管理模型(Chronic Care Model)主要应用于发达国家的慢性病管理实践中;世界卫生组织构建的创新型慢性病管理框架(Innovative Care for Chronic Conditions Framework)设计更加全面并已逐渐在全球得到应用。结论我国当前阶段应抓紧慢性病管理项目评估工作,加快分析总结各地慢性病管理实践,提炼我国慢性病管理理论模型,为未来实践提供理论基础。

Objective To provide policy recommendations for the improvement of chronic disease management in China. Methods Using literature research method, we analyzed the most influential theoretical models of chronic disease management. Results Theoretical models of chronic disease management are elicited from real-world practice; Chronic Care Model is the most influential theoretical model and are used widely to develop many chronic disease management programs in developed countries; Innovative Care for Chronic Conditions Framework that was introduced by WHO is a more comprehensive model. Conclusion It is suggested that evaluations of current chronic disease management programs need to be carried out, outcomes and experiences need to be analyzed and theoretical models based on real-world practice in China need to be developed and used for future implementation of chronic disease management.