社区慢性病管理相关主体行为模式分析  

Behavior Pattern Analysis of Government and Community Health Service Institutions in Community Chronic Disease Management

作　　者：李君[1] 

机构地区：[1]北京协和医院,北京100730

出　　处：《中国卫生经济》2013年第4期43-46,共4页Chinese Health Economics

摘　　要：目的:通过对社区慢性病管理中政府与社区卫生服务机构行为模式的特点和影响因素的研究,提出政策建议以提高社区慢性病管理效果。方法:文献研究、博弈分析与现场调研相结合。结果:(1)政府对社区慢性病管理的投入力度取决于时间偏好和投入回报率水平;(2)政府的投入结构、考评方法和政策支持力度影响社区卫生服务机构在慢病管理工作中的努力水平。结论:(1)提高政府对慢性病管理重要性的认识,强化对居民健康的保障责任;(2)选择合理的投入模式,保证政府对社区慢性病管理投入的有效性;(3)采用有效的制度设计,引导社区卫生服务机构积极参与慢性病管理。Objectives： By studying the characteristics and influencing factors of the behavior patterns of government and community health service institutions in the community chronic disease management, to enhance the effect of community chronic disease management. Methods： Combining literature research, game analysis and site investigation. Results： （1） Government＇s investment effort in community chronic disease management depends on the time preferences and the output/input level; （2） The investment structures, evaluation methods, and policy support ＇affect the community health service institutions＇ effort in the management of chronic disease. Conclusion： （1） Congnition of chronic disease management should be enhanced, anti the responsibility should be taken to protect the residents＇ health; （2） The rational input mode should be choosen to ensure the effectiveness of government investment in community chronic disease management; （3） Effective systems should be desingned to guide community health service institutions actively involved in the management of chronic disease.

关 键 词：社区卫生服务 慢性病管理 行为模式 

分 类 号：R197.1[医药卫生—卫生事业管理]