基于ICCC框架的医联体模式下高血压健康管理实践分析

按照ICCC框架要素对定性访谈资料和文献资料进行整理,分析医联体模式下高血压健康管理实践,总结了现有管理模式的特点和不足。研究发现,医联体模式下高血压健康管理模式整体上运行良好,宏观层面要素齐备,但是中观和微观层面部分要素尚不完善。为完善高血压健康管理模式,建议强化社区作用,建立医疗卫生机构和公共卫生机构的合作制度,完善医疗卫生人员激励机制,满足患者不同层次、不同深度的需求,形成管理完善、运行高效的高血压健康管理模式,取得最佳的慢性病防控管理效果。

Analysis of Hypertension Health Management Practice in National Medical Alliance for Hypertension Based on Innovative Care for Chronic Conditions Framework

According to the key elements of ICCC framework, qualitative interview data and literature data was collected to analyze the practice of hypertension health management in National Medical Alliance for Hypertension, summarize the characteristics and shortcomings. The study found the hypertensive health management in National Medical Alliance for Hypertension ran well on the whole, with all the elements at the macro level, while some elements at the meso and micro levels were still lacked. Based on the ICCC framework, it is suggested that the role of communities should be strengthened. A more cooperative system between healthcare institutions and CDCs should be established. The incentive mechanism for healthcare personnel should be improved and needs of patients at different levels should be met to reach a better healthcare quality. Through taking above measures, the purpose is to form a well-managed and efficient hypertension health management model, and achieve the best outcome of chronic disease prevention and control.