With the gradual shift in the disease spectrum,chronic non-communicable diseases(hereafter referred to as"chronic diseases")have become a serious threat to health and economic development in China and globally.Due to various pathogenic factors and a long course of disease,patients with chronic diseases often have a chronic disease accumulation state of individuals suffering from two or more chronic diseases at the same time,referred to as multimorbidity.The problem of multimorbidity is becoming increasingly prominent with a younger trend.The effective integration of fragmented and discontinuous health services,which are disease-centered and treatment-based,is of great significance in addressing this problem.This paper reviewed the current research status and development trends of multimorbidity health service integration at home and abroad,and analyzed the shortcomings of the current researches and practices of integrated health care of multimorbidity.It is proposed that constructing a personalized integrated service model centered on patients with multimorbidity and exploring the quantitative evaluation practice of integrated health care of multimorbidity in the real world are the development direction of future research on multimorbidity integrated services,providing reference for realizing the efficient and sustainable integration mechanism of multimorbidity services among medical institutions in China.
关键词
慢病共病/共病现象/多重病症/健康服务整合/干预效果评价
Key words
Multiple chronic conditions/Comorbidity/Multimorbidity/Integrated health care/Evaluation of intervention effect
维普
万方数据