摘要
目的分析老年人社区慢性病管理过程中供需双方的健康责任,为供需双方在慢性病管理过程中健康责任的履行提供参考依据。方法选取27个社区卫生服务中心,以所辖社区中抽取的老年人为研究对象,运用问卷调查法、深入访谈法分析老年人慢性病患病视角下供需双方的健康责任、老年人健康意识视角下供需双方的健康责任、老年人自我管理责任以及社区卫生服务机构的健康责任。结果供需双方履行健康责任仍有提升空间,老年人履行自我管理责任能力有待提高,三级预防理论指导下,社区卫生服务机构健康责任履行在各维度均存在不同程度的不足。结论建议明确供需双方慢性病管理的健康责任,以实现老年人群健康为目标,完成供需双方共同构建老年人社区慢性病管理健康责任的一种互动模式,实现健康共建共享。
Objective:To analyze the health responsibilities of both the supply and demand sides in the process of community chronic disease management for the elderly,as well as to provide a reference for the fulfillment of the health responsibilities of both the supply and demand sides in the process of chronic disease management.Methods:Elderly people were extracted as research subjects from communities,that were under the jurisdiction of the 27 community health service centers we selected.By using the method of questionnaire surveys and in-depth interviews,this paper analyzed the health responsibilities of both the supply and demand sides from the perspective of chronic diseases and health awareness among the elderly,self-management responsibilities of the elderly,and the health responsibility of community health service institutions.Results:There was still room for improvement in the fulfillment of health responsibilities by both the supply and demand sides,and the ability of elderly people to fulfill self-management responsibilities needs to be improved.Under the guidance of the three-level prevention theory,there were varying degrees of deficiencies in the fulfillment of health responsibilities by community health service institutions in all dimensions.Conclusion:It is suggested to clarify the health responsibilities of both the supply and demand sides for chronic disease management,with the goal of achieving the health of the elderly population,to complete both the supply and demand sides to jointly build an interactive model of health responsibility of chronic disease management in the elderly community,and to realize the health co-construction and sharing.
作者
郝姝鑫
范文超
秘玉清
元金宝
李伟
HAO Shuxin;FAN Wenchao;MI Yuqing;YUAN Jinbao;LI Wei(School of Public Health,Shandong Second Medical University,Weifang 261053,China;Performance Management office,Affiliated Hospital of Shandong Second Medical University,Weifang 261053,China;Finance Department,Shandong Second Medical University,Weifang 261053,China)
出处
《中国医学伦理学》
北大核心
2024年第12期1473-1477,共5页
Chinese Medical Ethics
基金
国家自然科学基金项目“整体健康管理视角下老年社区慢性病管理系统脆弱性分析及管理策略研究——以山东省为例”(71774119)
山东省自然科学基金面上项目“‘互联网+’背景下社区老年慢性病管理评估与优化路径研究”(ZR2023MG019)
山东省人文社会科学课题“社区老年慢阻肺患者健康素养研究”(2022-ZXJK-18)。
关键词
老年人
慢性病管理
健康意识
健康责任
elderly people
chronic disease management
health awareness
healthy responsibility
