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综合公立医院"医护管"一体化慢病全程管理模式探索

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慢病是导致我国居民死亡的主要原因,老龄化程度的加深以及疾病年轻化趋势加剧慢病防控形势。目前以基层医疗机构为主的慢病防控模式的实际效果并不理想,同时也无法满足慢病患者对优质医疗资源的需求。为帮助解决慢病患者就医随访等问题,推动形成公立医院医防融合服务新模式,四川大学华西医院探索构建了"医护管"一体化团队协同慢病全程管理模式,为加强慢病管理提供一种新的解决方案。
Exploration of chronic disease whole-process management mode of"doctor,nurse and health manager"integration in general public hospitals
Chronic diseases are the main causes of death in Chinese.The deepening of aging and the trend of younger patients have intensified the situation of chronic disease prevention and control.The current prevention and control mode of chronic diseases based on primary medical institutions is not ideal,which can't meet the needs of patients with chronic diseases for high-quality medical resources.To help solve the medical problem of chronic disease patients and to form the prevention and fusion medical service mode of public hospital,West China Hospital of Sichuan University explore constructed"doctor,nurse and health manager"integration team collaborative chronic disease whole-process management mode.And this mode provides a new solution to strengthen chronic disease management.

"Doctor,nurse and health manager"integrationTeamworkChronic disease whole-process management

张红、周永召、唐正、何宇恒、杜春霖、杨先碧、陈曦、柴琪

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四川大学华西医院全程管理中心,四川成都 610041

"医护管"一体化 团队协同 慢病全程管理

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(19)