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老年糖尿病患者居家健康管理模式的构建
引用本文:孙瑶,刘永军,李文源. 老年糖尿病患者居家健康管理模式的构建[J]. 护理学报, 2014, 0(9): 76-78
作者姓名:孙瑶  刘永军  李文源
作者单位:南方医科大学南方医院,广东广州510515
基金项目:广东省战略性新兴产业发展专项资金项目(2011912041);粤港关键领域重点突破项目(2011A011304001)
摘    要:在糖尿病高患病率、高致残率的背景下,提出了老年糖尿病患者居家健康管理模式,并阐述了该模式的目标人群及服务流程。该模式将医疗服务的覆盖范围延伸到家庭,为老年糖尿病患者提供了可靠、专业的健康指导,同时在信息技术的支撑下为患者带来了智能、便捷的健康服务。但模式也在定价问题、用户依从性、服务人员数量、用户流动性、技术实现等方面存在难点。针对上述难点,提出了分类定价、家属劝说、成立呼叫中心、就近选取服务对象、加大政策导向等对策。下阶段的研究工作将围绕深入开展居家健康管理,评价模式效果,建立医养结合新模式等内容进行。

关 键 词:糖尿病,老年  居家健康管理  信息技术

Establishment of Tele-home Health Management Mode for Elderly Patients with Diabetes
SUN Yao,LIU Yong-jun,LI Wen-yuan. Establishment of Tele-home Health Management Mode for Elderly Patients with Diabetes[J]. Journal of Nursing, 2014, 0(9): 76-78
Authors:SUN Yao  LIU Yong-jun  LI Wen-yuan
Affiliation:(Nanfang Hospital, Southern Medical University, Guangzhou 510515, China)
Abstract:With the high prevalence rate and the high disability rate of diabetes, this paper puts forwards the mode of tele-home health management for elderly patients with diabetes, and expounds the target population and service process. With the support of information technology, the mode extends the coverage of medical service to families, and provides elderly patients with diabetes a reliable, professional health guidance intelligently and conveniently. But there are also some aspects to be improved in terms of price, patients' compliance and mobility, service personnel number, and technology implementation. To solve these problems, countermeasures such as classification of pricing, persuasion from patients ' families, establishment of the call center, service object from short distance, policy guidance are put forward. Future research will focus on how to carry out the mode and evaluate its effect and establish a new model of combining medical care with medical maintenance.
Keywords:diabetes  elderly  tele-home health management  information technology
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