美国健康管理计划对我国社区卫生服务的启示

在提供卫生保健服务时，健康计划日益承担越来越多的金融风险，因此对人群健康的有效管理仍是一个很严峻的挑战。本文介绍了美国居民健康管理计划中对人群疾病负担的风险评估技术，显示如何应用风险调整方法来评估整个人群的疾病负担以及区分特殊慢性疾病人群未来不同层次的健康服务需要。这些方法对我国在社区卫生服务中开展以人群为基础的健康管理，提高医疗质量，降低医疗卫生费用有一定的借鉴。

Revelation of American Health Control on our Community Hygienic Services

As health plans are increasingly taking financial risks for provid-ing health care services, effectively managing the health of a population remainsone of the toughest challenges. It is introduced in this article that the methodsused to assess the disease burden of the health management program in America, andhow risk adjustment methods can be used to assess disease burden in the fullpopulation and to discriminate levels of future health care needs within specificdisease cohorts. It is very helpful with the methods to improve the management andthe quality of the community health service, and to control the Health expenditures.