首页|基于疾病协同理论的慢性病共病影响因素与管理策略

基于疾病协同理论的慢性病共病影响因素与管理策略

The Influencing Factors and Management Strategies of Multimorbidity Based on Syndemic Theory

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慢性病共病加重了患者的疾病负担与治疗负担,日益成为公共卫生与初级保健领域的重要研究问题.随着医学研究的进步,有关如何应对共病挑战的认识正在发生深刻转变,其中最显著的变化是关注到社会和环境因素对疾病的聚集和发展产生潜在影响.疾病协同理论为探索多种疾病的聚集及其与社会和环境因素之间的交互作用提供了新的视角,对于从社会和环境层面分析慢性病共病的交互作用和帮助弱势人群改善健康水平具有重要意义,但国内对该理论的介绍和研究较为匮乏.本文重点梳理了疾病协同理论的基本概念与主要观点,回顾了国外学者提出的经典模型,结合既往研究分析常见的疾病协同因素,并为我国全科医生改进慢性病共病的管理质量提出建议和对策.
Multimorbidity increases the burden of disease and treatment for patients,which is becoming an essential research issue in the field of public health and primary care.As medical research advances,the understanding of how to deal with the challenge of multimorbidity is undergoing a profound shift,the most significant of which is the focus on the potential influence of social and environmental factors on disease clustering and development.Syndemic theory provides a new perspective for exploring the clustering of multiple conditions,as well as their interaction with social and environmental factors,which is of great significance for analyzing the interaction of chronic comorbidities at the social and environmental levels,and contributing to improve health outcomes of vulnerable populations.However,there is a lack of introduction and research on this theory in China.This article mainly reviews the basic concepts and viewpoints of the syndemic theory,as well as the classical models proposed by foreign scholars,analyzes the common disease synergistic factors with previous research findings,and puts forwards suggestions and countermeasures for general practitioners in China to improve the quality of managing multimorbidity.

MultimorbiditySyndemic theoryInfluencing factorsManagement strategy

徐志杰、钱熠、严明、陆益婷、赵洋

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310009 浙江省杭州市,浙江大学医学院附属第二医院全科医学科

311121 浙江省杭州市,杭州师范大学公共卫生学院

310016 浙江省杭州市,浙江大学医学院附属邵逸夫医院全科医学科

200092 上海市,同济大学医学院全科医学系

2050 澳大利亚悉尼,新南威尔士大学乔治全球健康研究院

3010 澳大利亚墨尔本,墨尔本大学人口与全球健康学院

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慢性病共病 疾病协同理论 影响因素 管理策略

国家自然科学基金青年项目全球脑健康倡议基金浙江省医药卫生科技计划项目浙江省医药卫生科技计划项目

72004050P012582023KY7482024KY1026

2024

中国全科医学
中国医院协会

中国全科医学

CSTPCD北大核心
影响因子:2.04
ISSN:1007-9572
年,卷(期):2024.27(11)
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