農(nóng)村老年居民慢性病管理問(wèn)題研究

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目錄
第1章 緒論 1
1.1研究背景 1
1.2研究目的和意義 2
1.2.1研究目的 2
1.2.2研究意義 2
1.3國(guó)內(nèi)外研究綜述 2
1.3.1國(guó)內(nèi)對(duì)慢性病的研究綜述 2
1.3.2國(guó)外對(duì)慢性病的研究綜述 3
第2章 基本概念及相關(guān)理論 3
2.1相關(guān)基本概念 3
2.1.1慢性病 3
2.1.2慢性病管理 4
2.2相關(guān)理論 4
2.2.1 認(rèn)知理論 4
2.2.2健康行為理論 4
第3章 鎮(zhèn)江市農(nóng)村老年居民慢性病管理現(xiàn)狀分析 5
3.1基本情況 5
3.1.1鎮(zhèn)江市新農(nóng)合對(duì)農(nóng)村老年居民慢性病的保障狀況 5
3.1.2鎮(zhèn)江市農(nóng)村老年居民慢性病的管理情況 5
3.2慢性病管理存在的問(wèn)題 6
3.2.1對(duì)慢性病補(bǔ)償標(biāo)準(zhǔn)較低 6
3.2.2醫(yī)務(wù)人員防治水平和積極性較低 7
3.2.3健康檔案建檔率低 8
3.2.4慢性病知曉率較低 9
3.3存在問(wèn)題的原因分析 9
3.3.1 政府投入不足 9
3.3.2對(duì)醫(yī)務(wù)人員缺乏激勵(lì)機(jī)制 9
3.3.3健康檔案管理不完善 10
3.3.4農(nóng)村居民健康意識(shí)薄弱 10
第4章 農(nóng)村老年居民慢性病管理國(guó)內(nèi)外實(shí)踐及借鑒 10
4.1國(guó)內(nèi)慢性病管理探索 10
4.1.1天津市慢性病管理探索 10
4.1.2廣州市紅山街慢性病綜合管理模式 11
4.2國(guó)外社會(huì)醫(yī)療保障制度的慢性病管理探索 12
4.3借鑒意義 12
第5章 完善農(nóng)村老年居民慢性病管理的對(duì)策建議 13
5.1加大政府對(duì)慢性病管理經(jīng)費(fèi)的投入 13
5.2探索多種途徑籌資方式，減輕慢性病負(fù)擔(dān) 13
5.3完善激勵(lì)機(jī)制以提高醫(yī)務(wù)人員積極性 14
5.4完善健康檔案建設(shè)和慢性病隨訪制度 14
5.5開展健康教育工作以提高慢性病知曉率 15
結(jié)論 15
致謝 16
參考文獻(xiàn) 17


摘要：慢性病已成為我國(guó)城鄉(xiāng)居民的首要死因,已威脅到人民群眾的生命健康, 并造成了巨大的疾病負(fù)擔(dān)，是現(xiàn)代社會(huì)的一個(gè)突出公共衛(wèi)生問(wèn)題。本文基于社會(huì)醫(yī)學(xué)與衛(wèi)生事業(yè)管理視角,以鎮(zhèn)江市農(nóng)村慢性病老年人作為研究對(duì)象,通過(guò)查閱資料，收集相關(guān)文獻(xiàn)方式,了解到鎮(zhèn)江市農(nóng)村老年人慢性病管理的現(xiàn)狀以及存在的如下主要問(wèn)題：對(duì)慢性病補(bǔ)償標(biāo)準(zhǔn)較低；醫(yī)務(wù)人員防治積極性較低；慢性病知曉率較低；健康檔案建檔率低。通過(guò)分析了存在問(wèn)題的原因,借鑒國(guó)內(nèi)外其它地方慢性病管理的經(jīng)驗(yàn)，提出完善該地區(qū)的慢性病管理的策略：加大政府對(duì)慢性病管理經(jīng)費(fèi)的投入；探索多種途徑籌資方式，減輕慢性病負(fù)擔(dān)；完善激勵(lì)機(jī)制以提高醫(yī)務(wù)人員積極性；開展健康教育工作以提高慢性病知曉率；完善健康檔案建設(shè)和慢性病隨訪制度。
對(duì)鎮(zhèn)江市農(nóng)村居民慢性病進(jìn)行研究，一方面有利于提高人們的健康生命質(zhì)量，延長(zhǎng)人們的平均期望壽命，減輕個(gè)人、家庭、社會(huì)由于慢性病而帶來(lái)的經(jīng)濟(jì)負(fù)擔(dān)，提高農(nóng)民的醫(yī)療保障水平。另一方面為國(guó)家的有關(guān)政府部門和相關(guān)的醫(yī)療機(jī)構(gòu)在制定有關(guān)慢性病的政策時(shí)提供一些建議，有利于其它城市解決老年人慢性病群體中的問(wèn)題，對(duì)其它地方在完善醫(yī)療保障制度方面有一定的借鑒意義。
關(guān)鍵詞：新農(nóng)合；農(nóng)村；老年居民；慢性病管理


Zhenjiang City, the new rural cooperative medical system in rural elderly residents of chronic disease management Research

Abstract Chronic disease has become the leading cause of death in China's urban and rural residents, has been a threat to the life and health of people, and caused great burden of disease, is a serious public health problem in modern society. In this paper, from the angle of social medicine and health service management , elderly people in rural areas of Zhenjiang city as the research object, through searching information, collection of relevant literature, to understand the current situation of Zhenjiang City, the rural elderly chronic disease management and main problems: low compensation standard for chronic disease prevention; chronic disease medical staff enthusiasm is low; low awareness rate of health records filing rate is low. Through the analysis of the existence of the problem, from the management of chronic disease from other parts of the country experience, find the area of chronic disease management strategy: to increase government input to the management of chronic disease; to explore a variety of ways of financing, reduce the burden of chronic diseases; improve the incentive mechanism to improve the enthusiasm of medical staff; health education work to improve the awareness rate of chronic disease; improve the construction of health records and chronic disease follow-up system.
Study on chronic diseases of rural residents in Zhenjiang City, on one hand ,to improve the health of people's quality of life, extend people's average life expectancy, lightening the burden of the personal, family and the society caused by chronic disease economic, improve the level of health insurance for farmers. On the other hand, for the relevant government departments of the state and the relevant medical institutions to provide some suggestions in the development of some chronic diseases policy, conducive to the other city group to solve the chronic disease in the elderly, to other places in the improvement of the medical security system has a significance
Key words new rural cooperative medical system; rural residents; the elderly; chronic disease management