[1]方 敏,王敏娇,严运楼.县域医共体下慢性病“防—治—管” 一体化治理创新路径研究[J].卫生经济研究,2025,42(12):48-52,56.
 FANG Min,WANG Minjiao,YAN Yunlou.Study on the Innovative Path for Integrated Governance of Chronic Diseases through "Prevention, Treatment, and Management" under County-Level Medical Community[J].Journal Press of Health Economics Research,2025,42(12):48-52,56.
点击复制

县域医共体下慢性病“防—治—管” 一体化治理创新路径研究

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
42
期数:
2025年12期
页码:
48-52,56
栏目:
改革探索
出版日期:
2025-12-02

文章信息/Info

Title:
Study on the Innovative Path for Integrated Governance of Chronic Diseases through "Prevention, Treatment, and Management" under County-Level Medical Community
作者:
方 敏1王敏娇1严运楼1
1.上海工程技术大学马克思主义学院,上海 201600
Author(s):
FANG Min WANG Minjiao YAN Yunlou
School of Marxism, Shanghai University of Engineering Science, Shanghai 201600, China
关键词:
紧密型县域医共体慢性病管理一体化治理
Keywords:
compact county-level medical community chronic disease management integrated governance
分类号:
R19
文献标志码:
A
摘要:
当前,基层慢性病防治面临多重挑战,县域医共体成为慢性病“防—治—管”一体化治理的理想载体。针对慢性病预防普及的“最后一公里”难题、治疗服务的同质化困局、管理效能的碎片化短板、“防—治—管”协同的机制性壁垒,县域医共体应从筑牢基层预防网底、统一规范诊疗标准、贯通县域管理流程、实现“防—治—管”联动协作四个方面入手,提升慢性病“防—治—管”一体化治理效能,推动健康中国战略在县域层面的精准实施。
Abstract:
At present, the prevention and treatment of chronic diseases face multiple challenges at primary level. The county-level medical community has become an ideal carrier for integrated governance of chronic diseases through "prevention, treatment, and management". In response to the "last mile" challenge of chronic disease prevention popularization, the homogenization dilemma of treatment services, the fragmentation weakness of management efficiency, and the mechanistic barriers of "prevention, treatment, and management" collaboration, county-level medical communities should focus on four key areas including strengthening primary prevention networks, standardizing diagnosis and treatment protocols, streamlining county-level management processes, and achieving the linkage and collaboration across "prevention, treatment, and management". These measures will enhance the effectiveness of integrated governance of chronic diseases through "prevention, treatment, and management", and promote the precise implementation of the Healthy China strategy at the county-level.

参考文献/References:

[1] 李文军,胡思琦,邓宏林.地方政府农村医疗卫生政策的注意力分配差异及优化研究——以1998—2023年政策文本为例[J].中国卫生事业管理,2024,41(09):961-965.
[2] 牧雾云,彭明强,杨汀,等.我国县级医疗机构呼吸科运行效率调查与评估[J].中国医院,2025,29(05):77-81.
[3] 韩志鹏,陈星,王煜琳,等.家庭医生签约对居民基层医疗卫生机构服务利用的影响研究——基于倾向得分匹配法[J].现代预防医学,2025,52(06):1074-1078,1143.
[4] 黄晓霞,牟玲玲,王重润,等.笔谈:深化金融体制改革的战略思考与路径选择[J/OL].河北大学学报(哲学社会科学版),1-27[2025-04-30].
[5] 刘莉,张克俊.健康中国背景下建设县域医共体的现实需求、实践探索与思路对策[J].农村经济,2024(02):90-102.
[6] 王虹,张云霞,韩颖.基于“SHA2011”的2019—2022年山西省慢性病治疗费用变化研究[J].中国卫生经济,2025,44(04):56-60.
[7] 何雁云,马玉萍,徐佳星,等.从肾—命门—三焦气化探讨老年衰弱的中医病机演变[J].北京中医药大学学报,2022,45(09):929-933.
[8] 郑雯洁.县域医共体人力资源管理实践路径探究[J].商讯,2025(13):189-191.
[9] 肖翊冰,王晓雨,李伯阳.动态能力赋能基层医疗卫生机构医防融合工作的理论框架研究[J].医学与社会,2025,38(01):16-22.
[10] 董逢伟,汤立许.基于实践的社区嵌入式体医融合试点经验与展望[J].体育文化导刊,2024(04):53-59.
[11] 吕惠,陈辉,吕朋朋.县域医共体建设中的协作困境及其纾解——基于帕特南社会资本理论的分析[J].中国卫生事业管理,2025,42(01):6-10.
[12] 杨亚茹,杨剑,邱服冰,等.深圳市重度残疾人居家康复体育活动的健康效益[J].中国康复理论与实践,2024,30(05):586-590.
[13] 李子豪.医防融合视角下的家庭医生有偿签约服务与公众就医行为[J].江西财经大学学报,2024(04):73-86.
[14] 崔兆涵,王虎峰,张子楠.多重制度逻辑视角下紧密型县域医共体的治理机制与组织协同:理论机理与实证检验[J].中国卫生政策研究,2025,18(01):2-9.
[15] 张新华,刘力生,朱鼎良,等.实施世界卫生组织HEARTS工具包,提高基层医疗机构防控心血管疾病的能力[J].中华高血压杂志,2023,31(10):919-922.
[16] 董国菊,黄璐琦.基于中医治未病思想对射血分数保留心衰全周期、全方位防治范式的探索[J/OL].中华中医药学刊,1-12[2025-04-30].

相似文献/References:

[1]叶天瑜,王高玲.医疗健康大数据在慢性病管理中的应用研究[J].卫生经济研究,2017,(02):67.
[2]宋晨晓,徐爱军.高血压、糖尿病患者健康状况和卫生服务利用研究[J].卫生经济研究,2018,(04):60.
[3]马 健,郑建中,傅鸿鹏.国内外长处方服务对比研究[J].卫生经济研究,2019,(04):52.
 MA Jian,ZHENG Jian-zhong,FU Hong-peng.Comparative Study on Long-term Prescription Services at Home and Abroad[J].Journal Press of Health Economics Research,2019,(12):52.
[4]张梦倩,王艳翚,钱珍光,等.我国互联网医院发展模式分析[J].卫生经济研究,2019,(05):23.
 ZHANG Meng-qian,WANG Yan-hui,QIAN Zhen-guang,et al.Analysis on the Development Model of Internet Hospitals in China[J].Journal Press of Health Economics Research,2019,(12):23.
[5]秦 静,李 伟,栾 烨,等.常态化疫情防控下老年人健康管理策略研究[J].卫生经济研究,2020,(10):46.
 QIN Jing,LI Wei,LUAN Ye,et al.Study on the Elderly Health Management Strategy under the Prevention and Control of Normal Epidemic Situation[J].Journal Press of Health Economics Research,2020,(12):46.
[6]陈志鹏,杨金侠.医保支付促进慢性病管理的国际经验及启示[J].卫生经济研究,2021,38(2):38.
 CHEN Zhi-peng,YANG Jin-xia.International Experience and Inspiration of Medical Insurance Payment on Promoting Chronic Disease Management[J].Journal Press of Health Economics Research,2021,38(12):38.
[7]吴义天,杨燕绥.荷兰基层互联网医疗的发展经验及启示[J].卫生经济研究,2021,38(4):39.
 WU Yi-tian,YANG Yan-sui.Development Experience and Enlightenment of Primary Internet Medical in the Netherlands[J].Journal Press of Health Economics Research,2021,38(12):39.
[8]叶恬恬,赵允伍,王晓松,等.基于“主动健康”理念的社区慢性病管理模式研究[J].卫生经济研究,2021,38(8):45.
 YE Tian-tian,ZHAO Yun-wu,WANG Xiao-song,et al.Research on Community Chronic Disease Management Model Based on the Concept of "Active Health"[J].Journal Press of Health Economics Research,2021,38(12):45.
[9]王曼菲,陈馨仪,王安石,等.基层医疗卫生机构的慢性病管理:经验、问题和建议——基于案例分析[J].卫生经济研究,2022,39(3):46.
 WANG Man-fei,CHEN Xin-yi,WANG An-shi,et al.Chronic Disease Management in Primary Health Care Settings: Experiences, Problems and Recommendations——Based on Case Analysis[J].Journal Press of Health Economics Research,2022,39(12):46.
[10]宋大平,成 晓.信息化全程助力慢性病签约管理的实践与启示[J].卫生经济研究,2022,39(4):67.
 SONG Da-ping,CHENG Xiao.The Practice and Enlightenment of the Whole Process of Informatization Assisting Chronic Disease Contracting Management[J].Journal Press of Health Economics Research,2022,39(12):67.

更新日期/Last Update: 2025-12-02