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慢性病医防融合国内外实践进展与经验总结

薛梅启旸 陈鸣声

中国农村卫生事业管理2025,Vol.45Issue(3):153-161,9.
中国农村卫生事业管理2025,Vol.45Issue(3):153-161,9.DOI:10.19955/j.cnki.1005-5916.2025.03.001

慢性病医防融合国内外实践进展与经验总结

Progress and experience of the medical-prevention integration of chronic diseases:China and international practices

薛梅启旸 1陈鸣声2

作者信息

  • 1. 南京医科大学医政学院,江苏 南京 211166
  • 2. 南京医科大学医政学院,江苏 南京 211166||江苏卫生健康职业学院公共卫生管理学院
  • 折叠

摘要

Abstract

As chronic non-communicable diseases become a major public health and national health chal-lenge in China,their prevention and control urgently need to be strengthened.As a new health management mod-el,the medical-prevention integration is gradually becoming an important strategy to address the challenge of chro-nic diseases by integrating medical and public health resources.This paper aims to draw lessons from domestic and international experiences,and to provide theoretical support and practical references for analyzing the weaknesses and challenges of the current practices of medical-prevention integration in China,and advancing the innovation and practice of its mechanism.Combining China's policy support for medical-prevention integration and the pro-gress of national pilot projects in China,this paper sorts out the distinctive practical models and development status of medical-prevention integration both domestically and internationally.It provides an analysis and discussion to the concepts and applications of various models,including the Chronic Care Model(CCM),Expanded Chronic Care Model(ECCM),Innovative Care for the Chronic Conditions Framework(ICCC),Jieshou Model,and Jiexiu Model.Based on current practices,the medical-prevention integration model for chronic diseases in China has a-chieved initial success,accumulating valuable experience in policy guidance,service models,and practical explo-ration.However,the strategies for constructing the current models and the mechanisms still face challenges in terms of scientific rigor and effectiveness.

关键词

慢性病/医防融合/整合模式/照护模式/慢性病管理/综述

Key words

Chronic non-communicable disease/Medical-prevention integration/Integration model/Care model/Chronic disease management/Review

分类

预防医学

引用本文复制引用

薛梅启旸,陈鸣声..慢性病医防融合国内外实践进展与经验总结[J].中国农村卫生事业管理,2025,45(3):153-161,9.

基金项目

国家自然科学基金项目(72474109 ()

72174093) ()

中国农村卫生事业管理

1005-5916

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