欧洲国家慢性病管理经验--基于德国和荷兰的案例研究  

Chronic disease management in European countries-based on the case of Germany and the Netherlands

作　　者：罗秀 王轶[2] Luo Xiu;Wang Yi(Department of Preventive Medicine,North Sichuan Medical College,Nanchong 637007,China;Department of ENT,the Affiliated Hospital of North Sichuan Medical College,Nanchong 637007,China)

机构地区：[1]川北医学院预防医学系,南充637007 [2]川北医学院附属医院耳鼻喉科,南充637007

出　　处：《中华医学教育探索杂志》2018年第12期1189-1193,共5页Chinese Journal of Medical Education Research

基　　金：四川省社会科学规划项目(SC17B030);四川省基层卫生事业发展中心课题(SWFZ16-W-03);南充市社科研究重点项目(NC2016A005).

摘　　要：为应对日益加剧的慢性病疾病负担,世界各国陆续开展了卫生体系改革。以荷兰"疾病诊断治疗组合"和德国"健康金齐格塔尔整合医疗"为例,介绍了两国针对不同人群开展的慢性病管理项目。"疾病诊断治疗组合"以科学决策和服务系统整合为基础,通过多学科团队构建,实现个体化、连续、综合的疾病管理;"健康金齐格塔尔整合医疗"以健康促进为核心,广泛整合社会资源,降低了人群慢性病发病率、有效控制了卫生成本。这为健康中国建设提供了参考:从供给侧和需求侧两端发力整合资源、加强卫生服务体系整合、促进公众参与、提高个体健康素养,实现全民健康。In response to the increasing burden of chronic diseases,many countries have launched the reform of the health system.Based on the Diagnoses Treatment Combination(DTC)and Healthy Kinzigtal Gesundes Kinzigtal(GK),this paper elaborates on the experience of chronic diseases management during different populations in Germany and the Netherlands.Based on the scientific decision-making and system integration,the DTC builds a multidisciplinary team to achieve individualized and continuous integrated disease management.The GK model focuses on health promotion,extensively integrated social resources,to achieve the goal of reducing the incidence of chronic diseases and controlling the cost.This provides a useful reference for the building of Healthy China: integrating resources from the supply side and the demand side,strengthening the integration of the health service system,promoting citizen engagement and improving individual health literacy,so as to achieve universal health.

关 键 词：慢性病管理 卫生服务整合 公众参与 德国 荷兰 

分 类 号：R19[医药卫生—卫生事业管理]