| Unmet needs as indicator of improving chronic care delivery system in China |
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| 作者姓名： | Xia-Tong Ke Chun-Lu Wang Jack Warren Salmon Wen-Xi Tang |
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| 作者单位： | School of International Pharmaceutical Business;Center for Pharmacoeconomics and Outcomes Research;Synergus RWE AB;College of Pharmacy |
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| 基金项目： | National Natural Science Foundation of China(No. 71603278);Key Program of the National Natural Science Foundation of China(No.71734003);Youth Project of Educational Reform of China Pharmaceutical University(No. 2017XJQN32);a research project on postgraduate educational reform under "double first-class" capability construction from China Pharmaceutical University(No. 3151920118)。 |
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| 摘 要： | In 2009, China strengthened its public health service system. Since then, the country has made remarkable achievements in community-based chronic disease prevention and control;however, certain groups still have unmet needs. During 2019 to 2029, China will consolidate the top-level design of its medical health system. During this period, the coordination of department policies, improvement of service delivery mechanisms, building an integrated health service system, and other issues will be highlighted. This study will provide a basis for designing China’s chronic disease prevention and control system during the next stage of development. We will consider the unmet needs of patients with chronic diseases as an indicator for remodeling the prediction system in combination with the elements and structural theories of complex health systems. In this article, we first introduce the definition and measurement methods of unmet needs. Second, we identify the existing unmet needs found among patients with chronic diseases with reference to the chronic disease prevention and control policies of China as well as current service items. Finally, we propose the design of community chronic disease service package for the next development stage based on unmet needs of patients with chronic diseases. We also provide suggestions for how to improve China’s chronic care delivery system.
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| 关 键 词： | Unmet needs Chronic care Integrated delivery system Policy review |
Unmet needs as indicator of improving chronic care delivery system in China |
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| Authors: | Xia-Tong Ke Chun-Lu Wang Jack Warren Salmon Wen-Xi Tang |
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| Institution: | aSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, Jiangsu 211198, China;bCenter for Pharmacoeconomics and Outcomes Research, China Pharmaceutical University, Nanjing, Jiangsu 211198, China;cSynergus RWE AB, Hälsingegatan 45, Stockholm 11331, Sweden;dCollege of Pharmacy, University of Illinois Chicago, 833 South Wood Street, Chicago, IL 60612, United States |
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| Abstract: | In 2009, China strengthened its public health service system. Since then, the country has made remarkable achievements in community-based chronic disease prevention and control; however, certain groups still have unmet needs. During 2019 to 2029, China will consolidate the top-level design of its medical health system. During this period, the coordination of department policies, improvement of service delivery mechanisms, building an integrated health service system, and other issues will be highlighted. This study will provide a basis for designing China''s chronic disease prevention and control system during the next stage of development. We will consider the unmet needs of patients with chronic diseases as an indicator for remodeling the prediction system in combination with the elements and structural theories of complex health systems. In this article, we first introduce the definition and measurement methods of unmet needs. Second, we identify the existing unmet needs found among patients with chronic diseases with reference to the chronic disease prevention and control policies of China as well as current service items. Finally, we propose the design of community chronic disease service package for the next development stage based on unmet needs of patients with chronic diseases. We also provide suggestions for how to improve China''s chronic care delivery system. |
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| Keywords: | Unmet needs Chronic care Integrated delivery system Policy review |
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