四川大学学报（医学版）2025，Vol.56Issue(6)：1467-1474,8.DOI:10.12182/20251160503
创新型慢性病照护框架下的中国慢性病防治主体责任与协同问题系统分析
Analysis of Responsibilities and Coordination Among Key Stakeholders in Chronic Disease Prevention and Control in China Based on the Innovative Care for Chronic Conditions Framework
摘要
Abstract
Chronic diseases pose a major public health challenge in China.Clarifying the responsibilities of key stakeholders in chronic disease prevention and control and fostering synergy among them are essential to advancing the goals of the Healthy China 2030 Initiative.Utilizing the World Health Organization's Innovative Care for Chronic Conditions(ICCC)framework,we systematically analyzed how stakeholder responsibilities are defined in China's chronic disease prevention and control system,along with current coordination efforts and persistent challenges.We propose the following reform recommendations:strengthening governmental leadership by improving legislation and policy implementation standards,expanding health insurance coverage,and enhancing capacity building at the primary care level alongside patient education;establishing cross-departmental coordination mechanisms,encouraging social sector engagement,and improving communication,referral,incentive,and oversight mechanisms;accelerating the development of information system in central/western and rural areas,and promoting the application of big data and artificial intelligence technologies;fostering a supportive social environment through implementing incentive measures,promoting primordial prevention,and advancing healthy community initiatives.The implementation of these multifaceted measures is expected to enhance the quality and efficiency of chronic disease prevention and control,thereby contributing to the achievement of the goals of the Healthy China Initiative.关键词
慢性病/主体责任/协同机制/综述Key words
Chronic disease/Stakeholder responsibility/Coordination mechanism/Review引用本文复制引用
JIANG Hanhong,ZHANG Tianfeng,YANG Yanlin,ZHOU Chufan,PAN Jie,WANG Xiuli..创新型慢性病照护框架下的中国慢性病防治主体责任与协同问题系统分析[J].四川大学学报（医学版）,2025,56(6):1467-1474,8.基金项目
国家科技重大专项(No.2024ZD0523900、2024ZD0523902),国家自然科学基金委员会面上项目(No.42071379),成都市哲学社会科学研究中心资政服务能力建设专项重点项目(No.YJZX-2024-ZZZD-21)和成都东部新区管理委员会文化旅游体育局2023年卫生健康领域"揭榜挂帅"项目资助 （No.2024ZD0523900、2024ZD0523902）
