| 引用本文：胡宏伟, 向川, 陈一林.慢性病管理体系中的药店功能治理：理论框架与路径分析[J].中国卫生政策研究,2025,18(1):10-18 |
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| 慢性病管理体系中的药店功能治理：理论框架与路径分析 |
| 投稿时间：2024-10-17 修订日期：2024-12-19 PDF全文浏览 HTML全文浏览 |
| 胡宏伟1,2, 向川1,2, 陈一林1,2 |
1. 中国人民大学公共管理学院 北京 100872;
2. 中国人民大学健康保障研究中心 北京 100872 |
| 摘要:慢性病管理是“健康中国”战略中的重要内容，药店在慢性病防治中的作用日益得到认可，但社会各界对于慢性病管理体系中药店功能发挥的认识尚存在分歧，提升政府、医疗机构和药店等多元主体在慢性病管理中的协同治理成为当务之急。本文梳理发现，国际上慢性病管理体系的理论和实践取得长足发展，代表性理论包括CCM、ICCC等理论模型，代表性实践包括社区药房管理模式、药事服务扩展模式、药房健康管理模式。我国药店参与慢性病管理在政策执行、架构设计方面不断完善，地方模式探索不断创新，但仍面临主体协同不足、客体保障不足、体系不够健全、机制不够完善等挑战。本文在提出“协同—合作”慢性病共管体系框架基础上，进一步提出慢性病管理体系中药店功能治理的优化路径，包括加强主体建设、保障客体权益、完善管理体系、健全监督机制。 |
| 关键词:慢性病管理 药店 治理 协同 |
| 基金项目:国家社会科学基金项目(22BRK045) |
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| The governance of pharmacies functions in chronic disease management systems: Theoretical framework and pathway analysis |
| HU Hong-wei1,2, XIANG Chuan1,2, CHEN Yi-lin1,2 |
1. School of Public Administration and Policy, Renmin University of China, Beijing 100872, China;
2. Health Security Research Center, Renmin University of China, Beijing 100872, China |
| Abstract:Chronic disease management is an important element in the strategy of “Healthy China”, and the role of pharmacies in chronic disease prevention and treatment has been increasingly recognized. However, there are still differences in the understanding of the function of pharmacies in the chronic disease management system among various circles in China, and it is imperative to enhance the synergistic governance of multiple subjects such as the government, healthcare institutions and pharmacies in the management of chronic diseases. It is found that the theory and practice of chronic disease management system have made great progress in the international arena, and the representative theories include CCM, ICCC and other theoretical models, and the representative practices include community pharmacy management model, pharmacy service expansion model, and pharmacy health management model. The participation of pharmacies in chronic disease management in China has been continuously improved in terms of policy implementation and structural design, and the exploration of local models has been continuously innovated, but it still faces the challenges of insufficient synergy of the main body, insufficient safeguard of the object, insufficiently sound system, and insufficiently perfect mechanism. On the basis of the proposed “synergy-cooperation” chronic disease co-management system framework, we further propose an optimization path for the functional governance of pharmacies in the chronic disease management system, including the strengthening of the main body, the protection of the rights and interests of the object, the improvement of the management system, and the improvement of the supervision mechanism. |
| Key words:Chronic disease management Pharmacy Governance Collaboration |
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