The governance of pharmacies functions in chronic disease management systems:Theoretical framework and pathway analysis
10.3969/j.issn.1674-2982.2025.01.002
- VernacularTitle:慢性病管理体系中的药店功能治理:理论框架与路径分析
- Author:
Hong-wei HU
1
;
Chuan XIANG
1
;
Yi-lin CHEN
1
Author Information
1. 中国人民大学公共管理学院 北京 100872;中国人民大学健康保障研究中心 北京 100872
- Publication Type:Journal Article
- Keywords:
Chronic disease management;
Pharmacy;
Governance;
Collaboration
- From:
Chinese Journal of Health Policy
2025;18(1):10-18
- CountryChina
- Language:Chinese
-
Abstract:
Chronic disease management is an important element in the strategy of"Healthy China",and the role of pharmacies in chronic disease prevention and treatment has been increasingly recognized.However,there are still differences in the understanding of the function of pharmacies in the chronic disease management system among various circles in China,and it is imperative to enhance the synergistic governance of multiple subjects such as the government,healthcare institutions and pharmacies in the management of chronic diseases.It is found that the theory and practice of chronic disease management system have made great progress in the international arena,and the representative theories include CCM,ICCC and other theoretical models,and the representative practices include community pharmacy management model,pharmacy service expansion model,and pharmacy health management model.The participation of pharmacies in chronic disease management in China has been continuously improved in terms of policy implementation and structural design,and the exploration of local models has been continuously innovated,but it still faces the challenges of insufficient synergy of the main body,insufficient safeguard of the object,insufficiently sound system,and insufficiently perfect mechanism.On the basis of the proposed"synergy-cooperation"chronic disease co-management system framework,we further propose an optimization path for the functional governance of pharmacies in the chronic disease management system,including the strengthening of the main body,the protection of the rights and interests of the object,the improvement of the management system,and the improvement of the supervision mechanism.
