多源流理论视角下山东省“三高共管 六病同防”慢性病管理政策变迁动力分析  

Driving forces behind the development of the"Integrated Control and Prevention of Three Highs and Six Diseases"strategy for chronic disease management in Shandong province:a multiple streams framework-based analysis

作　　者：范文瑜 张玉 王海鹏[1,2] 齐聪 张高辉[3] 陈良侠 饶小胖[4] 赵洋[5,6] FAN Wenyu;ZHANG Yu;WANG Haipeng;QI Cong;ZHANG Gaohui;CHEN Liangxia;RAO Xiaopang;ZHAO Yang(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,China;Key Laboratory of Health Economics and Policy Research of National Health Commission(Shandong University),Jinan 250012,China;Shandong Provincial Center for Disease Control and Prevention,Jinan 250014,China;Qingdao Chengyang People's Hospital,Qingdao 266109,China;George Institute for Global Health,University of New South Wales,Sydney 2050,Australia;Melbourne School of Population and Global Health,University of Melbourne,Melbourne 3010,Australia)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),济南250012 [3]山东省疾病预防控制中心健康管理所,济南250014 [4]青岛市城阳区人民医院,青岛266109 [5]新南威尔士大学乔治全球健康研究院,悉尼2050 [6]墨尔本大学人口与全球健康学院,墨尔本3010

出　　处：《中国公共卫生》2025年第2期129-133,共5页Chinese Journal of Public Health

基　　金：国家重点研发计划(2020YFC2006505)。

摘　　要：阐释“三高共管六病同防”慢性病管理政策的变迁机制,以探寻其未来发展方向。本研究运用多源流理论模型分析“三高共管六病同防”慢性病管理政策变迁的影响因素,指出“三高共管六病同防”慢性病管理政策的必要性和合理性。研究发现,慢性病管理问题的产生、公众情绪、专家学者提出的建议以及国家执政理念和相关政策的制定都影响着慢性病管理政策的变迁。问题源流、政策源流和政治源流的有效汇合是“三高共管六病同防”慢性病管理政策产生的主要原因。应以多源流理论模型为指导,从问题、政策、政治三个方面继续优化“三高共管六病同防”慢性病管理政策,为慢性病管理相关政策的进一步完善提供参考。This study elucidates the evolutionary mechanism of the"Integrated Control and Prevention of Three Highs(high blood pressure/glucose/lipids)and Six Diseases(coronary heart disease,stroke,renal lesions,retinal lesions,peripheral neuropathy,and peripheral vascular lesions)"strategy for chronic disease management to explore its future development direction.This study uses the multiple streams framework(MSF)to analyze the influencing factors of the policy changes in the"Integrated Control and Prevention of Three Highs and Six Diseases"strategy and points out the necessity and rationality of this strategy.The study found that the emergence of chronic disease management problems,public sentiment,suggestions from experts and scholars,national governance philosophy,and the formulation of relevant policies all influence the development of chronic disease management policies.The effective confluence of the problem stream,policy stream,and political stream is the main reason for the emergence of the"Integrated Control and Prevention of Three Highs and Six Diseases"strategy.Under the guidance of the MSF,the"Integrated Control and Prevention of Three Highs and Six Diseases"strategy should be further optimized from the perspectives of problem,policy,and political perspectives and provide a reference for further improvement of chronic disease management policies.

关 键 词：多源流理论 “三高共管六病同防” 慢性病管理 

分 类 号：F32[经济管理—产业经济]