中国全科医学2026，Vol.29Issue(20)：2800-2807,8.DOI:10.12114/j.issn.1007-9572.2025.0485
慢性病管理中的社会经济与人口学挑战分析
Analysis of Socioeconomic and Demographic Challenges in Chronic Disease Management
摘要
Abstract
Chronic diseases have become a major health burden in China.The management of chronic diseases extends beyond clinical care and is profoundly shaped by structural social determinants.This research adopts a narrative review approach and applies Fundamental Cause Theory(FCT)to analyze disparities in chronic disease management across three key dimensions:socioeconomic status(SES),gender,and age.Individuals with lower SES face systemic disadvantages in accessing health information,exercising self-efficacy,and securing necessary health resources.Gender disparities are shaped not only by female-specific disease burdens but also by socially constructed roles and institutional biases.Older adults encounter additional challenges in managing multiple chronic conditions due to physiological decline,digital exclusion,and weakening social support networks.Rather than narrowing these gaps,technological advancements may inadvertently exacerbate inequalities due to unequal capacity to mobilize resources.This paper proposes a three-tiered intervention framework and advocates the integration of'social prescribing'into chronic care models.It calls for coordinated action across structural equity,service delivery,and digital inclusion to advance health equity in chronic disease management.关键词
慢性病管理/健康不平等/社会经济地位/性别/老年人/根本原因理论/叙述性综述Key words
Chronic disease management/Health disparities/Socioeconomic status/Gender/Older adults/Fundamental cause theory/Narrative review分类
医药卫生引用本文复制引用
程玉,韩士尧,孙平,向娟,杨辉,李东泽,郑莉,廖晓阳..慢性病管理中的社会经济与人口学挑战分析[J].中国全科医学,2026,29(20):2800-2807,8.基金项目
国家社科基金项目(22BSH053) （22BSH053）
国家自然科学基金资助项目(62506248) （62506248）
国家科技重大专项(2024ZD0524700,2024ZD0523904) （2024ZD0524700,2024ZD0523904）
四川省科技厅项目(2025YFHZ0150) （2025YFHZ0150）
四川省自然科学基金项目(2024NSFSC1534) （2024NSFSC1534）
