摘要
尿失禁严重影响老年患者的生理、心理、社会健康,成为威胁人类健康的世界五大疾病之一.面对庞大的患者群体,社区医疗机构可以承担绝大部分早期筛查和轻症治疗的任务,但目前国内尿失禁管理的现状为:①尿失禁患者的知晓率、治疗率和康复水平都远低于发达国家标准,慢性并发症筛查率低,疾病负担沉重,疾病医疗费用支出增长迅速;②基层医生对治疗方法的认识不足、医疗资源不足和患者依从性差.新医改有望为社区中的尿失禁防治工作提供新的机遇.本文围绕分级诊疗制度的建立、医疗技术创新和药品价格调整、社区康复锻炼服务的健全三个方面阐述新医改背景下有利于提高中国尿失禁防治效果的措施,为中国社区尿失禁防治工作提供思路.
Abstract
Urinary incontinence significantly affects the physiological,psychological,and social health of eld-erly patients,making it one of the world's top five threats to human health.Faced with a vast patient population,community medical institutions can undertake the majority of early screening and treatment for patients with mild symptoms.However,the current situation of urinary incontinence management in China is as follows.First,awareness,treatment rates,and rehabilitation levels among urinary incontinence patients are far below the stand-ards of developed countries.Screening rates for chronic complications are low,and the disease burden is heavy,with rapidly increasing medical expenses.Second,primary healthcare professionals have insufficient knowledge of treatment methods,limited medical resources,and poor patient compliance.The new healthcare reform offers new opportunities for urinary incontinence prevention and treatment in the community.In the context of the new healthcare reform,this paper discusses measures which are conducive to improving the effectiveness of urinary in-continence prevention and treatment in China.These measures revolve around the establishment of a tiered health-care system,medical technology innovation,drug price adjustments,and the development of community-based re-habilitation,offering insights for urinary incontinence prevention and treatment in Chinese communities.
基金项目
国家重点研发计划重点专项(2022YFC3602904)
2020年度卫生健康适宜技术推广项目(151)
NETL
NSTL
万方数据