中国全科医学2025，Vol.28Issue(25)：3119-3126,3136,9.DOI:10.12114/j.issn.1007-9572.2023.0455
医联体内老年慢性病管理内容的匹配分析:基于"指南-实践-需求"视角
Matching Analysis of the Content of Chronic Disease Management for the Elderly in Medical Union:Based on the Perspective of"Guidance-Practice-Need"
摘要
Abstract
Background Chronic disease management is a major challenge in an aging society,and medical union is a powerful way to solve the problem of chronic diseases in the elderly in China.At present,existing studies have summarized the management practice of medical union and the needs of elderly patients with chronic diseases,and relevant institutions and experts organized by government departments have also formulated corresponding guidelines and technical scheme.However,from the perspective of disease management,the matching status of specific management content from the three perspectives of guideline recommendation evidence,practice status and patient needs should be further studied.Objective To clarify the evidence resources of elderly chronic disease management in the medical alliance and analyze the matching status between service resources and service needs from the perspectives of"Guidance-Practice-Need".Methods Framed by the Arksey and O'Malley scoping review framework,an analysis was conducted on the management of two diseases(hypertension and diabetes)from Jonuary 2023 to April 2024.The relevant guidelines or technical schemes from inception to December 2020 and other types of literature from August 2011 to December 2020 on the management of elderly chronic diseases(hypertension,diabetes)in the medical alliance was systematically retrieved.After removing duplicate and screening,the data were extracted,and the management content and responsible organizations were summarized by descriptive method and content analysis method,and the matching status between service resources and service demands was compared with the presentation of tables,graphs and summary paragraphs.Results A total of 35 articles from 14 provinces and regions were included,covering 39 items of management content in 12 categories.Nine guidelines and technical plans literatures were included to describe 19 items of management content in 6 categories,21 literatures on practice status introduced 24 items of management content in 9 categories,and another 6 literatures analyzed 32 items of patient needs in 12 categories.There were great differences in management content under the 3 perspectives,and the main responsible organizations of the two perspectives of guidance and practice were different.Conclusion The matching results of supply and demand of management content suggest that future research can explore the efficient utilization path of independent service resources of chronic disease management in demand-oriented medical alliances,while the matching results of responsible institutions of specific management content suggest that future research should explore how to optimize the resource allocation of primary medical institutions on the basis of strengthening the two-way referral channel,and determine the responsibility of patients and families to participate in chronic disease management.关键词
老年人/慢性病管理/医联体/匹配分析Key words
The elderly/Chronic disease management/Medical union/Matching analysis分类
医药卫生引用本文复制引用
燕芳红,彭国恬,张国莉,孙瑞仪,马玉霞,韩琳..医联体内老年慢性病管理内容的匹配分析:基于"指南-实践-需求"视角[J].中国全科医学,2025,28(25):3119-3126,3136,9.基金项目
国家社会科学基金资助项目(20CGL053) （20CGL053）
