健康宜昌视域下网格管理对慢病管理的作用路径研究  

Studying on the Pathway of Grid Management on Chronic Disease Management from the Perspective of Healthy Yichang

作　　者：吴悦[1,2] 张亮 张培[3] 徐承中[3] 吴周志[3] 鲁芳芳[3] 徐英[3] WU Yue

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]上海市疾病预防控制中心上海市预防医学研究院 [3]湖北省宜昌市疾病预防控制中心宜昌市健康管理中心

出　　处：《中国卫生事业管理》2019年第10期792-795,共4页Chinese Health Service Management

基　　金：国家自然科学基金重点项目“健康中国背景下基层卫生服务能力提升研究:理论与机制”(71734003);国家自然科学基金面上项目“农村地区以医疗服务纵向整合为导向的医保支付机制研究”(71673099)

摘　　要：健康城市建设注重区域内多种社会资源与工具的融通整合。作为一项社会管理工具,网格管理已成为宜昌市城区慢病居民健康与医疗服务利用的管理工具,是宜昌进行健康城市建设的重要尝试。本研究首先结合已有的文献材料、宜昌市的实践内容,对网格管理、慢病管理与O2O医疗服务做出了概念界定,然后基于宜昌市O2O医疗服务的构成部分及其功能,详细分析了网格管理对慢病管理的作用路径,最后从网格管理多样公共服务的履行、多级别医疗机构间的关系、城市慢病居民人群与个体层面管理三个角度,提出了该作用路径存在的主要问题及其针对性建议,为健康城市视域下慢病管理的政策与环境优化提供依据。As a tool for social management, grid management has been an important management tool for health service of residents with chronic diseases, which is important for the construction of healthy city. Firstly, combined with the previous literatures and practices in Yichang, the conceptions of grid management, chronic disease management and O2O health service were theoretically defined. Then, the pathway of grid management on chronic disease management was analyzed based on its components and function of O2O health service in Yichang. Finally, the main problems and its countermeasures were put forward from aspects of the implementation of various public services of grid management, relationship among multilevel health institutions and chronic management at the population and individual level, which can provide evidences for policy-making and environmental optimization of chronic disease management in the construction of Healthy City.

关 键 词：健康城市 网格管理 慢病管理 O2O医疗服务 

分 类 号：R197.1[医药卫生—卫生事业管理]