The research progress of chronic disease management mode applied to the cancer management in the community
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摘要: 随着人口老龄化、居民生活压力增加以及环境污染等原因,恶性肿瘤的发病率和死亡率逐年上升,已成为当前社会面临的主要健康问题之一。目前恶性肿瘤已经纳入了社区慢病管理的研究范围,积极有效的慢病管理模式有利于降低恶性肿瘤发病率和死亡率。社区是人们日常生活、社会活动和维护自身健康的重要场所,是卫生服务的基本单位,在社区开展肿瘤防治知识的宣传教育,促进社区防癌知识的普及,使社区居民主动参与防癌计划的实施,对肿瘤防治工作取得成效具有积极的作用。以社区为基础的恶性肿瘤慢病管理研究是准确确定各种恶性肿瘤发病率、死亡率及其变化趋势,评价我国社会恶性肿瘤疾病负担,探索病因及其进化规律,开展针对性疾病预防和评价治疗效果的基础。目前国内各地已经在社区恶性肿瘤慢病管理方面进行了积极的探索,其主要措施包括对肿瘤患者的健康管理、健康教育、肿瘤监测和肿瘤筛查等。本文就国内外慢病管理的模式、恶性肿瘤慢病管理现状及社区肿瘤疾病管理中存在的问题进行综述。Abstract: With the aging of population as well as the increase of residents' living pressure and the environmental pollution and other reasons, the incidence and mortality of malignant tumors have been rising year by year, which has become one of the major health problems facing the society today. Current cancer research has been included in the study of community chronic disease management. Positive and effective chronic disease management model will help reduce cancer morbidity and mortality. Community is an important place for people's daily life, social activities and maintaining their own health. It is the basic unit of health service. Carrying out publicity and education on cancer prevention and treatment knowledge, promoting the popularization of community cancer prevention knowledge, enabling community residents to actively participate in the implementation of cancer prevention programs have a positive effect on the success of cancer prevention and treatment work in the community. Community-based study of chronic disease management on malignant tumors lays a foundation for accurately determining the incidences, mortalities and their trends, assessing the burden of cancer in our society, exploring the cause of disease and its evolutionary pattern, and building a foundation for targeted disease prevention and evaluation. Currently researchers around the country have been actively exploring the community malignant chronic disease management. The main measures include cancer patients in health management, health education, cancer and other cancer screening and monitoring. This article reviews the domestic and international models of chronic disease management, the status quo of chronic disease management in domestic malignant tumors and the existing problems in community cancer disease management.
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Key words:
- Cancer management /
- Cancer prevention and treatment /
- Community
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