Volume 20 Issue 12
Dec.  2022
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TIAN Jia-he, LIU Xiang, CHEN Hong, CAO Zi-long, DAN Zcm, CHEN Yi-qi, WANG Zhao-xin, YU Wen-ya. Connotation of the community health management models of chronic non-communicable diseases and its revelations to our country[J]. Chinese Journal of General Practice, 2022, 20(12): 1995-1999. doi: 10.16766/j.cnki.issn.1674-4152.002754
Citation: TIAN Jia-he, LIU Xiang, CHEN Hong, CAO Zi-long, DAN Zcm, CHEN Yi-qi, WANG Zhao-xin, YU Wen-ya. Connotation of the community health management models of chronic non-communicable diseases and its revelations to our country[J]. Chinese Journal of General Practice, 2022, 20(12): 1995-1999. doi: 10.16766/j.cnki.issn.1674-4152.002754

Connotation of the community health management models of chronic non-communicable diseases and its revelations to our country

doi: 10.16766/j.cnki.issn.1674-4152.002754
Funds:

 72104140

 82101870

 2021PJC083

 LQ21H100001

 B20220431

  • Received Date: 2022-06-14
    Available Online: 2023-02-07
  • With the acceleration of the aging process of the Chinese population and the rising prevalence of chronic non-communicable diseases, a strategy for the accurate and effective management of chronic non-communicable diseases in community health service centres is crucial for health and social development of the Chinese population. Based on the background and development of community health management of chronic non-communicable diseases, this study systematically discusses the connotation, principles and methods of community health management of chronic non-communicable diseases, summarises foreign and domestic community health management models for chronic non-communicable diseases, analyses the shortcomings and relevant improvement measures in China, and explores the future development direction of community health management of chronic non-communicable diseases in China. Nowadays, community health management of chronic non-communicable diseases in China still lacks progress. Domestic management models include the family-doctor contract service model, hospital-community-family linkage model and medical-care combination model. By contrast, the concept of community health management of chronic non-communicable diseases in foreign countries is proposed earlier, and a series of distinctive and practical models, such as the National Diabetes Prevention Program, New South Wales Chronic Disease Prevention and Management Model in Australia and Innovative Care for Chronic Conditions Framework, has been developed. The above management model has certain reference significance for our country, including the systematic and efficient integration of resources, formulation of chronic disease management plans based on the characteristics of specific communities and a focus on residents ' awareness of self-health management. At present, China ' s chronic non-communicable disease control system has made significant progress, but there are still problems such as structural imbalance and low efficiency of medical resource allocation, imperfect hierarchical diagnosis and treatment system, and lack of awareness and ability of self-health management of the population. In the future, it is still necessary to carry out targeted health education on chronic diseases, establish a long-term communication mechanism for talent training, and improve the hierarchical diagnosis and treatment system based on families.

     

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