Abstract:

During the prevention and control of the COVID-19, the decrease in routine medical care has spread across countries in various degrees, also affecting the management of chronic disease accordingly. The policies and schemes of prevention and control of the COVID-19 in China have been adjusted since December 2022, health care system has been facing serious challenges, bringing increased pressure on primary care. Based on the experiences of other countries, this paper suggests that primary care in China should pay attention to the promoting of self-management for patients with chronic diseases, providing proactive service for patients with complex situations and high demand, strengthening the application and research of telemedicine, intensifying the community connection of primary care services, focusing on the improvement of the compensation mechanism of health services.

Key words: Chronic disease management, COVID-19, Epidemic prevention and control, Primary health care, General practice, Telemedicine

摘要：

新型冠状病毒感染疫情防控期间，各国出现了不同程度的常规医疗服务减少情况，慢性病管理工作也相应受到影响。2022年12月，中国调整了新型冠状病毒感染疫情防控相关政策和方案，医疗卫生系统面临挑战，基层医疗压力增加。在此情况下，本文基于其他国家经验，建议中国基层医疗应注重开展慢性病患者的自我管理，并为复杂和高需求的慢性病患者提供主动服务，加强对远程医疗的应用与研究，强化基层服务的社区连接，重点完善医疗服务的补偿机制。

关键词: 慢性病管理, 新型冠状病毒感染, 疫情防控, 初级卫生保健, 全科医学, 远程医学