中国农村卫生事业管理2026，Vol.46Issue(7)：457-462,6.DOI:10.19955/j.cnki.1005-5916.2026.07.001
慢性病共病的管理困境与对策研究
Management dilemmas and countermeasures for chronic disease comorbidity
摘要
Abstract
At present,chronic disease comorbidity has become a major public health challenge,with its prevalence continuously rising and the disease burden increasingly heavy.Although there have been studies explo-ring chronic disease comorbidity management from multiple aspects,most of them are limited to a single entity or a specific step,lacking a systematic analysis from a collaborative management perspective.Based on the review of the management practices of chronic disease comorbidity,this paper constructs a tripartite analysis framework of government,healthcare institutions and patients,and analyzes in-depth the core problems currently faced:at the government level,there is a lack of diagnostic guidelines and insufficient knowledge popularization;at the health-care institution level,there is fragmentation in resource allocation and mismatch in service models;at the patient level,there is a lack of self-management ability and heavy psychological and social burdens.In response to these problems,it proposes systematic countermeasures such as developing guidelines for the diagnosis and treatment of chronic disease comorbidity,optimizing integrated medical resource allocation,and building a networked social support system,aiming to promote the transformation of chronic disease comorbidity management from a single dis-ease-oriented approach to multimorbidity co-management,from fragmented services to continuous care,thus provi-ding theoretical basis and practical paths for achieving systematic,continuous and individualized management of chronic disease comorbidity.关键词
慢性病共病/管理困境/三方协同/对策/共病诊疗指南/综合管理模式Key words
Chronic disease comorbidity/Management dilemma/Tripartite collaboration/Countermeas-ures/Diagnostic and treatment guidelines for chronic disease comorbidity/Comprehensive management mode分类
医药卫生引用本文复制引用
徐灿,谢瑞瑾,赵允伍,侯芳芳,姜雨晴,王珩..慢性病共病的管理困境与对策研究[J].中国农村卫生事业管理,2026,46(7):457-462,6.基金项目
安徽省卫生健康科研重点项目(AHWJ2023A10018) （AHWJ2023A10018）
