青岛市城阳区“三高共管 六病同防”慢病管理模式的实践与效果探讨  

Practice and effects of the"Integrated Control and Prevention of Three Highs and Six Diseases"strategy of chronic disease management in Chengyang district,Qingdao city:preliminary field survey and report data analysis

作　　者：王海鹏 范文瑜[1,2] 饶小胖 张玉 侯新国 陈良侠[5] 张高辉[5] WANG Haipeng;FAN Wenyu;RAO Xiaopang;ZHANG Yu;HOU Xinguo;CHEN Liangxia;ZHANG Gaohui(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,China;National Health Commission Key Lab of Health Economics and Policy Research(Shandong University),Jinan 250012,China;Qingdao Chengyang District People′s Hospital,Qingdao 266109,China;Qilu Hospital of Shandong University,Jinan 250012,China;Department of Health Management,Shandong Center for Disease Control and Prevention,Jinan 250014,China)

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]青岛市城阳区人民医院,青岛266109 [4]山东大学齐鲁医院,济南250012 [5]山东省疾病预防控制中心健康管理所,济南250014

出　　处：《中国公共卫生》2025年第2期139-143,共5页Chinese Journal of Public Health

基　　金：国家重点研发计划(2020YFC2006505)。

摘　　要：目的探讨青岛市城阳区“三高共管六病同防”慢病管理模式的实践与效果,为完善我国慢病防控工作提供政策依据。方法采用定性和定量相结合的研究方法,使用青岛市城阳区卫健局提供的统计数据分析“三高共管六病同防”模式实施前后三高患者的规范管理率、控制率以及转诊率的变化。通过关键知情人访谈收集青岛市城阳区“三高共管六病同防”模式建设、双向转诊机制、信息化平台建设等方面的资料。结果青岛市城阳区“三高共管六病同防”模式提高了三高患者的规范管理率和控制率,增加了三高患者的双向转诊人次数,有效控制了三高患者并发症的发生率。结论“三高共管六病同防”慢病模式体现了以人为本的整合型卫生服务理念,提供了以健康为中心的连续性管理服务,发挥了基层医疗卫生政策的整合与协同作用,借助信息化平台建设提升了其服务效能并强化了基层医疗卫生机构的服务能力,可改善“三高”“六病”的管理效果,具有一定的推广和借鉴价值。Objective To study the practice and effectiveness of the"Integrated Control and Prevention of Three Highs(hypertension,hyperglycemia,and hyperlipidemia)and Six Diseases(coronary heart disease,stroke,renal lesions,retinal lesions,peripheral neuropathy,and peripheral vascular lesions)"chronic disease management strategy in Chengyang district,Qingdao city,and to make policy recommendations for improving chronic disease prevention and control in China.Methods Data on management and referral of the"Three Highs"patients in 2019 and 2021(before and after the implementation of the"Integrated Control and Prevention of Three Highs and Six Diseases"management strategy)were provided by Chengyang District Health Commission of Qingdao city.Key informant interviews were conducted to collect information on the operation mode,two-way referral mechanisms,and information platform development in the implementation of the strategy.Qualitative and quantitative analyses were conducted in the study.Results Among the"Three Highs"patients in the district,the standardized treatment rate and control rate were increased but the incidence of complications was effectively controlled after the implementation of the"Integrated Control and Prevention of Three Highs and Six Diseases"management strategy.Conclusions The"Integrated Control and Prevention of Three Highs and Six Diseases"strategy is of certain promotion and reference value on account of the provision of health centered continuity management services,integration and synergy of primary health care services,and improvement of service efficiency and capacity of grassroots medical and health institutions under the implementation of the strategy.

关 键 词：“三高共管六病同防” 慢病管理模式 实践 效果 

分 类 号：F32[经济管理—产业经济]