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作 者:魏琮菡 梁力中 曾志嵘 WEI Conghan;LIANG Lizhong;ZENG Zhirong(Department of Epidemiology and Health Statistics,School of Public Health,Guangdong Medical University,Dongguan 523808,China;Institute of Healthcare Security,Guangdong Medical University,Zhanjiang 524023,China;Institute of Public Health and Wellness,Guangdong Medical University,Zhanjiang 524023,China)
机构地区:[1]广东医科大学公共卫生学院流行病与卫生统计学系,东莞523808 [2]广东医科大学医保研究院,湛江524023 [3]广东医科大学公共卫生与健康研究院,湛江524023
出 处:《中华疾病控制杂志》2024年第8期969-975,共7页Chinese Journal of Disease Control & Prevention
摘 要:随着人口老龄化加剧和人群疾病谱变化,慢性病共病日趋复杂,明确共病时间序列上的进展规律,将为更深入的研究提供切入点。本研究通过对慢性病共病轨迹相关概念进行分析,采用文献可视化系统梳理和以变量为中心、以个体为中心、以疾病诊断为中心3种研究视角对其方法学进展及研究发现具体总结。慢性病共病轨迹研究的开展,将为提早发现疾病风险并实施干预、延缓、控制疾病进展提供证据支持,对找出共病发生机制和优化卫生资源配置具有重要参考意义。As the aging of the population intensifies and the spectrum of diseases in the population changes,the complexity of multimorbidities of chronic diseases is increasing.Clarifying the progression patterns of multimorbidities over time will provide points for further research.This study analyzes the concepts related to chronic disease multimorbidity trajectories,systematically reviews the literature visualization,and summarizes the methodological advances and research findings from three research perspectives:variable-centered,individual-centered,and disease diagnosis-centered.The development of chronic disease multimorbidity trajectory research will provide evidence to early detect disease risks,implement interventions,delay and control disease progression,and have important reference significance in identifying the mechanisms of multimorbidity occurrence and optimizing health resource allocation.
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