基于反脆弱发展理论的我国基层医疗卫生服务干预策略研究

一一以慢性病管理为例

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【关键词】疾病管理；慢性病；基层医疗卫生服务；慢性病管理；反脆弱发展理论；干预策略；脆弱性【中图分类号】R197.323【文献标识码】A DOI：10.12114/j.issn.1007-9572.2024.0511

【Abstract】The high prevalence and persistent growthof chronic diseases pose significanthealth challenges in China. Thisstudy，groundedinthentifragilityevelopmentteoryexploresinterventionstrategiesforprimaryealthcareice toenhancechronicdisease preventionandmanagement.Itsystematicallreviewsthevulnerabilitiesoftheprimaryhealthcare systeminadressngchronicdisease management，including imbalances inmedicalresourcealocation，challengs inpolicy implementation，underdeveloped informationsystems，andshortagesof professonalpersonnel.Byinnovativelyintroducingthe conceptofantifragilitythestudyemphasizes thattheprimaryhealthcaresystemcanstrengthenitscapabilitiesbyadaptingtoand improvingunderconditionsofuncertaintyandpressre.Aseriesofinterventionmeasuresasedontheantifraglityframeworkare proposed，suchsegatingitedisciplnaryamsdiforationtchologtoeliverpersoazdealthicescg risk identificationandhealtheducation，andimplementing multi-levelinterventionstocomprehensivelyreducechonicdisease risks.Otherrecommendationsincludeincreasingtheflexibiltyandadaptabilityoffamilydoctorcontractingservices，otiizing policysupportandresourcealocationandestablishngsienticevaluationndimprovementmechanisms.Thisstudyimsto buildaresilient，adaptive，andcontinuouslyoptimizedprimaryhealthcaresystem，ultimatelyimproving thequalityofchronic disease management， residents'health outcomes，and overall quality of life.

【Key words】Disease management; Chronic disease; Primary healthcare services; Chronic disease management;Antifragile development theory; Intervention strategies; Vulnerability

随着城镇化的快速发展、人口老龄化加剧以及生活方式的改变，慢性非传染性疾病（以下简称慢性病）的高发病率和持续增长的患病率已成为中国面临的重大健康问题。（剩余12880字）