Volume 21 Issue 6
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(6): 916-919
CAO Lin, YANG Zhenhua, XIAO Weizhong. Discussion on the personalized health education model for chronic diseases with multimorbidity[J]. Chinese Journal of General Practice, 2023, 21(6): 916-919. doi: 10.16766/j.cnki.issn.1674-4152.003014
Citation: CAO Lin, YANG Zhenhua, XIAO Weizhong. Discussion on the personalized health education model for chronic diseases with multimorbidity[J]. Chinese Journal of General Practice, 2023, 21(6): 916-919. doi: 10.16766/j.cnki.issn.1674-4152.003014
shu

Discussion on the personalized health education model for chronic diseases with multimorbidity

doi: 10.16766/j.cnki.issn.1674-4152.003014
  • 1.

    General Practice Department, Peking University Third Hospital, Beijing 100191, China

Funds:

 B-YXGP20210201-01

  • Received Date: 2022-09-06
    Available Online: 2023-08-26
    Abstract
  • Chronic diseases with multimorbidity refers to one person concurrently suffers from two or more chronic diseases. Recent years have witnessed an increasing prevalence of multimorbidity, which results in a heavier burden and a worse patient prognosis compared with a single chronic disease, becoming a global healthcare challenge. In view of the complex medical conditions of patients with multimorbidity, the disease-centered passive care model is difficult to meet the proactive care needs of these patients, and to better their prognosis and quality of life. There is still no a unified personalized health education model for multimorbidity, but the health education model derived from simply merged health education prescriptions for single chronic diseases is not suitable for patients with multimorbidity. Thus, it is necessary to establish a scientific and feasible personalized health education model for patients with multimorbidity, which can provide the patients with personalized health education guidance involving pharmacological treatment, health behaviors and lifestyle based on a thorough assessment of their clinical data, exercise and sleep quality, nutritional status and diet, mental and psychological status and disease burden. The health education plan can be adjusted according to its effectiveness continuously evaluated during a long-term follow-up. In China, with the promotion of healthcare and pharmaceutical reform, the development of hierarchical medical system and family doctor services and other public health services has been improved basically, and general practitioners are capable to provide comprehensive health management services including personalized health education for patients with multimorbidity. Considering the common health problems in patients with multimorbidity, we reviewed studies on chronic disease health education, and discussed three aspects (health education assessment, health prescription development, effectiveness assessment) that should be focused on in the development of a personalized health education model for multimorbidity, with a view to providing a reference for the formulation of health education prescriptions for Chinese patients with multimorbidity.

     

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