我国慢性病患者健康管理获得感的内涵界定及获得感提升策略

Connotation and Improvement Strategies of the Sense of Gain in Health Management for Chronic Disease Patients in China

健康管理是我国慢性病防治工作的重点,但健康管理的评价体系、管理模式等方面仍存在诸多问题有待完善。慢性病患者健康管理获得感是检验健康管理成效的重要指标,也是健康管理模式变革的关键点。根据需求理论、认知差异及行为者-观察者效应等理论基础,探讨慢性病患者健康管理获得感的概念内涵,并进一步分析提升慢性病患者健康管理获得感的主要制约因素。研究发现,当下健康管理评价体系尚不完善,考核方向与患者获得感偏离;慢性病患者主动健康意识不高,获得感“钝化”现象突出;提升慢性病患者健康管理获得感的资源要素不足。据此提出提升慢性病患者健康管理获得感的对策建议,包括建立健全以慢性病患者健康管理获得感为核心的健康管理评价体系;充分应用现代信息技术,多角度赋能获得感提升;全面推进基层中医药服务,促进中医药在基层健康管理中的应用。

Health management is a key focus of chronic disease prevention and control in China,but there are still many issues that need to be addressed in evaluation systems,management models,and other aspects.The sense of gain of patients with chronic diseases in health management is an important indicator to test the effectiveness of health management and a key point in the transformation of health management modes.Based on the theoretical foundations of need theory,cognitive differences,and the actor-observer effect,explore the conceptual connotations of the sense of gain in health management among chronic disease patients.Further analyze the main constraints in enhancing the sense of gain in health management among chronic disease patients.The current health management evaluation system is not yet perfect,and the assessment direction deviates from the patients'sense of gain.Chronic disease patients have low proactive health awareness,and the phenomenon of"dulling"sense of gain is prominent.Additionally,there is a lack of resources to improve the sense of gain in health management for chronic disease patients.Based on these findings,we put forward countermeasures and suggestions to improve the sense of gain in health management for chronic disease patients at the grassroots level.We need to establish and improve a health management evaluation system with the sense of gain at its core,make full use of modern information technology to enhance the sense of gain from multiple perspectives,and comprehensively implement traditional Chinese medicine at the grassroots level to promote its application in grassroots health management.