健康中国战略下农村老年慢性病管理困境与对策:基于近十年健康政策的变迁

The dilemma and countermeasures of chronic disease management among the rural elderly under the“Healthy China”strategy:based on the changes of health policy in the past decade

随着我国生育率和死亡率下降,老年人在总人口中的比例不断扩大,使我国慢性病防治面临越来越大的挑战。在健康中国战略下,老年慢性病管理质量是评估我国居民整体健康水平的重要指标,而农村地区医疗卫生资源的相对缺乏与较低利用率使得我国农村老年慢性病防治遇到诸多困难,尤其是传统村落的合并、新型农村社区的形成使得原本相互熟悉的社区卫生人员、老年慢性病患者、基层干部之间双向沟通不畅,加大了慢性病管理难度。文章通过梳理近10年我国慢性病管理相关研究,从新型农村社区视角出发,重点探究农村老年人慢性病管理情况,在已有政策环境下基于新型农村社区提出老年慢性病农村社区管理对策。

With the decline of fertility and mortality in China,the proportion of the elderly in the total population continues to expand,making the prevention and treatment of chronic diseases in China face more and more challenges.Under the“Healthy China”strategy,the quality of chronic disease management for the elderly is an important indicator to evaluate the overall health level of Chinese residents.However,the relative lack of medical and health resources in rural areas and the low utilization rate make the prevention and treatment of chronic diseases of the elderly in rural areas of China face many difficulties,especially the combination of traditional villages and the formation of new rural communities make the two-way communication between community health personnel,elderly patients with chronic diseases and grass-roots cadres who are familiar with each other blocked,which increases the difficulty of chronic disease management.This article focuses on the management of chronic diseases of the elderly in rural areas from the perspective of the new rural community by combing the relevant research on chronic disease management in China in the past 10 years,and proposes the rural community management countermeasures for chronic diseases of the elderly based on the new rural community under the existing policy environment.