The Current Situation and Enlightenment of the of County-Level Chronic Disease Management Center Construction under the Integrated Service System
- VernacularTitle:整合型服务体系下县域慢病管理中心建设现状及启示
- Author:
Xindan ZHANG
1
;
Jinhao HE
;
Yue YIN
;
Shuping WANG
Author Information
1. 山东大学公共卫生学院卫生管理与政策研究中心(国家卫生健康委员会卫生经济与政策研究重点实验室)山东 济南 250012
- Publication Type:Journal Article
- Keywords:
chronic disease management;
county;
integrated medical services;
county-level medical community;
county-rural integration
- From:
Chinese Health Economics
2025;44(4):79-83
- CountryChina
- Language:Chinese
-
Abstract:
The management of chronic diseases at the county-level faces the problems of low degree of standardized manage-ment,weak management capacity of chronic diseases at the grassroots level,and shedding management of chronic disease patients.The"county-level chronic disease management center"proposed in the"Thousand Counties Project"can promote the county-town-ship-village medical institutions to jointly provide integrated and continuous chronic disease management services for county resi-dents.The study conducted in-depth interviews and analyses on the construction of the centers in 10 county(district)hospitals.Con-clusion:Firstly,the construction of the centers is in its infancy,and the support of government investment,performance incen-tives,and informatization construction is insufficient;secondly,the service content of the current centers is not clear enough,and the collaborative management model of chronic diseases in counties and villages is not stable.Enlightenment:The county-level med-ical community has built an effective path for the centers and the construction of chronic disease management centers needs to be fur-ther strengthened in terms of finance,medical insurance,interest mechanism,informatization construction and awareness of chronic diseases.
