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老年共病的研究管理策略

姚元龙 史威力 冯娴 黄文博 王留义

姚元龙, 史威力, 冯娴, 黄文博, 王留义. 老年共病的研究管理策略[J]. 中华全科医学, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574
引用本文: 姚元龙, 史威力, 冯娴, 黄文博, 王留义. 老年共病的研究管理策略[J]. 中华全科医学, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574
YAO Yuan-long, SHI Wei-li, FENG Xian, HUANG Wen-bo, WANG Liu-yi. Research management strategies for multimorbidity in elderly patients[J]. Chinese Journal of General Practice, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574
Citation: YAO Yuan-long, SHI Wei-li, FENG Xian, HUANG Wen-bo, WANG Liu-yi. Research management strategies for multimorbidity in elderly patients[J]. Chinese Journal of General Practice, 2022, 20(8): 1267-1270. doi: 10.16766/j.cnki.issn.1674-4152.002574

老年共病的研究管理策略

doi: 10.16766/j.cnki.issn.1674-4152.002574
基金项目: 

河南省医学科技攻关计划软科学项目 RKX202101001

详细信息
    通讯作者:

    王留义, E-mail: wly2000@126.com

  • 中图分类号: R592

Research management strategies for multimorbidity in elderly patients

  • 摘要: 当前全球人口老龄化严重,我国也进入了老龄化的加速阶段。老龄化伴随而来的共病问题给经济社会的发展带来了严峻挑战,共病问题的出现严重影响了老年患者的生活质量,同时也造成了多重用药、治疗负担的加重,随着患慢病数目的增多,更有部分患者伴随着心理疾病的困扰,同时, 老年共病还可以引起住院次数增加, 这直接导致了医疗成本和资源利用率大幅增加, 所以共病问题逐渐成了一个社会健康问题。慢性病的共病管理也成了“健康中国2030”关注的重点,目前慢病管理的指南多集中在处理单一疾病,而患有共病的老年人常容易被忽视,许多临床实践表明,针对处理单病的指南并不适合共病问题的解决,为了更好地管理共病患者,国内外学者进行了大量研究,2012年美国老年医学会发布了《老年共病患者的诊疗指导原则》,提出了以患者为中心、针对老年共病患者的诊治策略,该原则为我国共病管理提供了参考思路和理论框架;国内学者在共病研究中也积累了相关经验,强调通过实行多学科整合团队,发展全科医生制度,采取以患者为中心的管理模式,自我管理模式,重视老年综合评估,重视多重用药等更好地管理共病。本文对共病的概念、流行病学、共病的危害及共病管理等展开论述,以期为国内老年共病患者的健康管理起到积极的推动作用。

     

  • 图  1  2018年英国苏格兰地区发布的关于多重用药的7步用药回顾流程

    Figure  1.  A seven-step medication review process for polypharmacy in Scotland, UK, published in 2018

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  • 收稿日期:  2021-10-11
  • 网络出版日期:  2022-09-26

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