| 引用本文：杜晔, 孟群.我国慢性肾脏病防治政策及策略研究——基于卫生经济学视角[J].中国卫生政策研究,2018,11(7):78-83 |
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| 我国慢性肾脏病防治政策及策略研究——基于卫生经济学视角 |
| 投稿时间：2017-06-20 修订日期：2018-03-26 PDF全文浏览 HTML全文浏览 |
| 杜晔1, 孟群2 |
1. 首都医科大学附属北京世纪坛医院 北京 100038;
2. 国家卫生健康委综合监督局 北京 100044 |
| 摘要:慢性肾脏病（chronic kidney disease，CKD）是世界范围内公共卫生领域的研究热点。流行病学研究证实了我国多个地区的高CKD患病率，但目前我国关于CKD防治的公共卫生政策及策略研究还处于缺失的状态。文章遵循卫生经济学的基本原理，根据我国CKD流行病学研究结果，结合我国国情并借鉴发达国家成熟的做法，从合理使用CKD防治的卫生资源；做好CKD的一级预防；依托分级诊疗模式，强化全科医师在CKD防治一线的作用，逐步充实肾科专科医师队伍；发挥政策协调作用，逐步控制部分地区的高CKD患病率；加强卫生信息系统建设，实现CKD防治的宏观管理和科学决策等方面，探索建立具有中国特色的CKD防治政策及策略。 |
| 关键词:慢性肾脏病 成本效益分析 卫生资源配置 慢性病管理 |
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| Research on China's policies and strategy for chronic kidney disease prevention: Based on the perspective of health economics |
| DU Ye1, MENG Qun2 |
1. Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;
2. General Supervision Bureau, National Health Commission of the PRC, Beijing 100044, China |
| Abstract:Since the prevalence of chronic kidney disease (CKD) has been estimated to be high in many countries and regions as revealed by the epidemiological studies, the research on CKD has drawn more and more attention in the field of public health worldwide. Presently, the research on China's public health policies and strategies for prevention of CKD is still deficient even though the studies have been made for ten years in the epidemiology of CKD in China. The CKD brings heavy burden to the society since the outcomes of its advanced cases can be devastating in terms of serious complications, demands for renal replacement therapy and increased risk for cardiovascular diseases. According to the results of the epidemiological researches conducted in China, this article follows the perspective of health economics to study the policies and strategies for CKD prevention combined with the national conditions and drawing lessons from the mature practices of developed countries. The policies cover as follows:Rational use of health resources in the prevention and control of CKD, primary prevention and treatment of CKD should be done well, strengthening the role of general practitioners and nephrology physicians respectively relying on the grading diagnosis and treatment model in the treatment and prevention of CKD, strategies should work to eliminate the regional differences of the prevalence of CKD, and the construction of health information system should be strengthened for better management and decision-making for CKD prevention and control. Therefore, policies and strategies for CKD prevention and control with Chinese characteristics will be established |
| Key words:Chronic kidney disease Cost-benefit analysis Health resources allocation Chronic disease management |
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