类风湿关节炎患者健康管理服务研究进展

类风湿关节炎(rheumatoid arthritis, RA)是一种常见的以关节破坏为特征的慢性炎症性自身免疫病，但在临床实践中，RA患者因缺乏就医条件及合适的健康管理服务，导致治疗达标率低。健康管理是对个体或群体的健康实现全面、全过程的健康保健服务。其中，慢性病健康管理能有效改善慢性病的治疗效果。而整合型卫生服务通过调整服务方式和协同机制，能在不增加或少增加卫生总投入的前提下，有效提高整体的卫生服务效率和服务质量。此文系统梳理国内外RA健康管理服务进展及慢性病整合型卫生服务经验，有望为开展RA患者健康管理提供思路。

Progress of health management services for patients with rheumatoid arthritis

Rheumatoid arthritis (RA) is a common chronic autoimmune disease with inflammation and joint injury. However, in clinical practice, deficiency of medical condition and health management service results in low treatment success rate. Health management provides comprehensive and overall-process health care service for individuals or groups. Among them, chronic health management is effective to improve treatment result. Integrated health service could improve treatment efficiency and quality with no increased total investment or with little incremental investment by adjusting service model and synergy mechanism. This study aims to summarize the progression of RA health management service and experience on integrated health services for chronic diseases. It is expected to develop idea for RA health management service.