Incentive Synergy、Functional Sequencing and Heterogeneous Bridging:Mechanism Innovation Research on Rural Chronic Disease Management
The traditional rural chronic disease management mechanism with the doctor-patient relationship as the core is difficult to cope with the current growing demand for chronic disease prevention and control due to the lack of government leadership.In view of the differences in social structure and resource distribution between urban and rural areas,rural areas cannot simply transplant the urban model in the reform of chronic disease management mechanism.In order to explore how to adjust the management mechanism of chronic diseases in rural areas,an analytical framework of"process-structure-function"was constructed,and the digital chronic disease management reform in A county was analyzed as a case.The study found that the shaping of self-management behavior of rural patients with chronic diseases depends on the comprehensive incentive of intrinsic motivation and external environment.As the core subject of rural chronic disease management,the grass-roots government needs to undertake different management and service roles from the higher-level government,and accurately empower the grass-roots community to participate,so as to adapt to the rural medical treatment pattern under the coupling of multiple factors and enhance the ability to cope with complex situations.Through the use of digital technology,the time and space constraints of medical treatment are eliminated,the mismatch of medical resources is alleviated,and the service process is reengineered to promote the structural adjustment and efficiency of chronic disease management.In order to establish a long-term rural chronic disease management mechanism,it is necessary to rationally coordinate management resources and innovate diversified measures to form incentive synergy.Identify local resource endowments,clarify the government's functional planning,and timely absorb social organizations to participate in management.Technical means should be effectively embedded in the whole process of chronic disease management to bridge the gap between urban and rural areas and promote the continuous optimization of rural chronic disease management mechanism.
万方数据
维普
