文章摘要
农村老年居民慢性病管理 ———基于构建新农合慢性病管理体系的视角
Chronic Disease Management among Rural Elderly———Based on Constructing Chronic Disease Management Systemof the New Cooperative Medical Scheme
投稿时间:2014-09-09  
DOI:
中文关键词: 新型农村合作医疗制度  慢性病管理  农村老年居民
英文关键词: New Cooperative Medical Scheme (NCMS)  Chronic disease management  Rural elderly
基金项目:国家自然科学基金“基于农村医疗保障制度的老年居民慢性病管理模式研究冶(71203080),江苏大 学高级专业人才科研启动基金(12JDG122),中国博士后科学基金(2013M530242),江苏省博士后科 研资助计划(1301146C),全国统计科学研究计划项目(2013LY016)。
作者单位
代宝珍 江苏大学管理学院公共事业管理系副教授,邮编:212013 
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中文摘要:
      慢性病是我国农村老年居民的首要死因,带来的沉重疾病负担使得老年参合居民面临重返“因病致贫、因病返贫”困境的危险。文章采用“中国健康与营养调查”(CHNS)数据库,研究我国老年参合居民的慢性病患病、防治现况及当前新型农村合作医疗制度(新农合)慢性病管理体系的特征,探讨完善新农合慢性病管理体系的方法。结果表明,和其他年龄组相比,老年参合居民高血压、糖尿病等慢性病的患病率最高,规范治疗率低下。研究提示,农村老年居民慢性病相关卫生服务需求量大,应引导卫生资源流向乡镇及以下医疗机构,注重慢性病预防和规范管理,并依据服务人群特征制定特异性服务方式。
英文摘要:
      Chronic diseases, which are the leading causes of both death and the burden of disease inChina, put rural elders who have participated in the New Cooperative Medical Scheme (NCMS) into the plight of poverty caused by illness. This study aims to provide information for chronic disease management system of NCMS by examining the characteristics of chronic disease management of NCMS with China Health and Nutrition Survey data (CHNS). The study results show that rural elders爷prevalence rates of hypertension, diabetes, and other chronic diseases were the highest among age groups,with low rate of standard chronic disease management. It's implied that chronic disease management system of NCMS should focus on elderly participants whose health care service demands are huge, and chronic disease management system of NCMS should develop policies to locate health care resources to the township and lower medical institutions with focusing on prevention and standard treatment, and specific policy should be develop based on the characteristics of the target population.
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