中国全科医学 ›› 2022, Vol. 25 ›› Issue (10): 1172-1176.DOI: 10.12114/j.issn.1007-9572.2022.0091

所属专题: 社区卫生服务最新研究合集 新型冠状病毒肺炎最新文章合集 COVID-19疫情防控研究

• COVID-19疫情防控研究 • 上一篇    下一篇

新型冠状病毒肺炎疫情下北京市社区慢性病患者医疗服务保障政策研究

康良钰, 商伟静, 刘珏, 刘民*   

  1. 100191 北京市,北京大学公共卫生学院
  • 收稿日期:2022-01-16 修回日期:2022-02-23 出版日期:2022-04-05 发布日期:2022-03-28
  • 通讯作者: 刘民
  • 基金资助:
    首都卫生发展科研专项(2021-1G-4281)

Policies Implemented in Beijing for Guaranteeing Healthcare for Community-dwelling Patients with Noncommunicable Diseases during the COVID-19 Pandemic

KANG LiangyuSHANG WeijingLIU JueLIU Min*   

  1. School of Public HealthPeking UniversityBeijing 100191China

    *Corresponding authorLIU MinProfessorDoctoral supervisorE-mailliumin@bjmu.edu.cn

  • Received:2022-01-16 Revised:2022-02-23 Published:2022-04-05 Online:2022-03-28

摘要: 全球新型冠状病毒肺炎流行给慢性病医疗服务的保障带来了影响和挑战。为保障社区慢性病患者的医疗服务,满足其医疗服务需求,疫情应对和常态化防控期间北京市发布了一系列政策和相应的配套措施,包括推行"长处方"政策、提供"互联网+医疗"服务、落实分级诊疗制度、发挥家庭医生的作用、开展"送药上门"服务5个方面。本文梳理和总结了疫情应对期间和常态化防控阶段北京市社区慢性病患者医疗服务保障的政策和相关措施,通过评价政策实施效果和与国内外比较发现,未来可以考虑从加强基层医务人员培养、重视慢性病及其危险因素监测、精准化健康管理、继续落实分级诊疗制度、探索慢性病全周期健康管理等方面进一步优化疫情持续状态下的社区慢性病管理。

关键词: 新型冠状病毒肺炎, 慢性病, 社区卫生服务, 卫生政策

Abstract:

The COVID-19 pandemic brings about influence and challenge for ensuring healthcare services for non-communicable diseases. To guarantee the healthcare services for community-living patients with non-communicable diseases and to meet their healthcare needs, the Beijing municipal government issued a series of policies and relevant supporting measures, including five parts: promoting the implementation of the extended prescription policy, providing Internet-based medical services, further implementing the hierarchical medical system, giving full play to the role of family doctors, and carrying out the service of doorstep delivery of medicines. We reviewed and summarized policies and corresponding measures implemented in Beijing for guaranteeing healthcare for community-dwelling non-communicable disease patients during COVID-19 early response period and ongoing containment period. By evaluating the implementation effect of the policies and comparing with those at home and abroad, it is found that the community chronic disease management under the continuous epidemic situation can be further optimized in the future from the aspects of strengthening the training of grass-roots medical personnel, paying attention to the monitoring of chronic diseases and their risk factors, accurate health management, continuing to implement the hierarchical diagnosis and treatment system, and exploring the whole cycle health management of chronic diseases.

Key words: COVID-19, Chronic diseases, Community health services, Health policy

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