Study on health management service specification and support systems for chronic patients
10.3760/cma.j.cn111325-20200410-01067
- VernacularTitle:慢性病人群健康管理服务规范及支撑体系研究
- Author:
Jing WANG
1
;
Meng CAI
;
Yanqing MIAO
;
Guangpeng ZHANG
;
Yulan CHENG
;
Guoxiang LIU
;
Zhaoyang ZHANG
;
Yang YU
Author Information
1. 华中科技大学同济医学院医药卫生管理学院，武汉 430030
- From:
Chinese Journal of Hospital Administration
2020;36(6):446-451
- CountryChina
- Language:Chinese
-
Abstract:
This article introduces the health management service specification for a chronic patient population. The concept of this specification comes from the whole process of people-centered and integrated health management of the chronic patient population. It is also based on the World Health Organization′s integrated chronic patient population management model. The completion of the specification has gone through several rounds of expert discussion in related fields in China. The contents include seven key links: suspect selection, clinical diagnosis, health assessment, intervention plan development, intervention plan implementation, follow-up, and health reassessment. It also includes establishing a professional team and developing a support system and mechanism of financing, compensation, and incentives. The specification aims at integrating regional health resources through standardizing service technology and scientific management concepts. It would help to improve the efficiency and quality of health management of chronic patient population in China, thereby reducing the economic burden of chronic diseases for patients and their families, and achieving the goal of improving residents′ health.
