基于利益相关者理论的农村慢性病协同管理策略研究  被引量:2

Research on collaborative management strategies for rural chronic disease based on stakeholder theory

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作  者:李进 赵宁 顾梅 李丹慧 张海燕 杨佳 LI Jin;ZHAO Ning;GU Mei;LI Danhui;ZHANG Haiyan;YANG Jia(School of Public Health,Capital Medical University,Beijing 100069,China;Medical Department,Shaanxi Provincial People s Hospital,Xi an Shaanxi 710068,China;Health Education Department,Beijing Huairou Hospital,University of Chinese Academy of Sciences,Beijing 101400,China)

机构地区:[1]首都医科大学公共卫生学院,北京100069 [2]陕西省人民医院医务处,陕西西安710068 [3]中国科学院大学附属北京怀柔医院健康教育科,北京101400

出  处:《卫生软科学》2023年第8期13-17,共5页Soft Science of Health

基  金:北京市教委重点项目-基于协同管理理论的首都农村基层慢性病管理模式研究——怀柔区为例(SZ201910025008)。

摘  要:慢性病管理是实施“健康中国”战略的一项重要内容,也是实现社区首诊的重要抓手。基层是开展慢性病管理的关键场所,农村的慢性病管理相较城镇存在很多问题与不足。利用利益相关者理论,从县(区)-乡-村三级来探讨卫健委、医保局、疾控中心、乡镇政府、乡镇卫生院、村委会、村卫生室以及患者等利益相关者在慢性病管理的利益诉求,对利益相关者的现状、资源、参与意愿、影响力等展开分析,了解利益相关者之间的利益关联和作用机制,并提出能促进慢性病管理中利益相关者协同合作的策略和建议。Chronic disease management is an important part of the“Healthy China”strategy,and it is also an important tool to realize community-based primary care.The grass-roots areas are the key places to carry out chronic disease management.There are many problems and deficiencies in chronic disease management in rural areas compared with urban areas.Based on stakeholder theory,this paper discusses the interest demands of stakeholders such as health commission,medical insurance bureau,CDC,township government,township health centers,village committee,village clinics and patients in chronic disease management from county(district)-township-village level.The status quo,resources,willingness of participation and influence of stakeholders are analyzed to understand the interest correlation and mechanism among stakeholders.This paper proposes strategies and suggestions to promote stakeholders synergy and collaboration in chronic disease management.

关 键 词:慢性病管理 利益相关者 农村基层 

分 类 号:R197[医药卫生—卫生事业管理]

 

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