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    Development of a General Practice plus Compact Regional Practice Consortium-based Chronic Disease Management Model with International Chronic Disease Management Models and Experiences as a Reference
    Yang LIU, Kai WANG, Gexin XIAO, Jujiao XIAO, Jianbo GAO, Ni LIN, Dong CHEN, Huijun WANG, Qingfeng DU
    Chinese General Practice    2022, 25 (16): 1923-1928.   DOI: 10.12114/j.issn.1007-9572.2022.0061
    Abstract2003)   HTML71)    PDF(pc) (2350KB)(2747)       Save

    The community-based chronic disease containment in China is still in its infancy, and there is a lack of a complete system for practical implementation with tertiary and secondary or primary hospitals collaboratively involved. We systematically summarized the development of chronic disease management in China, then analyzed the essentials of three major foreign chronic disease management models (chronic care model, innovative care for chronic conditions framework, and chronic disease self-management program) and chronic disease management experiences of Finland, the U.S., Australia, Japan with a focus on management ideas, systematic structures, and operable approaches. With these foreign models and experiences as a reference, we developed a general practice plus compact regional medical consortium-based chronic disease management model used in Lishui Town with complexity science and analysis for resource integration, against the backdrop of promoting the development of the compact county medical consortium and contracted family doctor services. We expect that our study could provide new ideas for the research on chronic disease containment in China's primary care.

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    The Predicament and Solution of the General Assistant Practitioners in Rural Areas under the Background of the Medical Practitioner Law
    Yue ZHAO, Lanqiu LIU
    Chinese General Practice    2022, 25 (16): 1929-1934.   DOI: 10.12114/j.issn.1007-9572.2022.0024
    Abstract944)   HTML14)    PDF(pc) (1983KB)(440)       Save

    Neither the Law on Practicing Doctors nor the recently passed Medical Practitioner Law has clearly stipulated the qualification examination for general assistant practitioners in rural areas, which has led to many difficulties faced by the general assistant practitioners in rural areas, impacting negatively on the construction of primary health care team in rural areas. This paper sorted out the policy evolution of the qualification examination of the general assistant practitioners in rural areas; summarizesd the existing problems faced by general assistant practitioners in rural areas in three aspects, namely legal identity, protection of practicing rights, and professional self-identity; demonstrated the feasibility of legalizing the qualification examination of general assistant practitioners in rural areas, and put forward the path and specific content of perfecting the general assistant practitioners in rural areas through legislation.

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    Implications of Domestic and Foreign Typical Chronic Disease Management Models for Rural Chronic Disease Management in China
    Jin LI, Haiyan ZHANG, Jia YANG
    Chinese General Practice    2022, 25 (16): 1935-1941.   DOI: 10.12114/j.issn.1007-9572.2021.00.327
    Abstract966)   HTML41)    PDF(pc) (2159KB)(3940)       Save

    Chronic diseases have become a major public health issue that seriously affects people's health. In China, chronic disease prevalence is increasingly serious as population aging progresses, which poses great challenges to the management of chronic diseases. Chronic disease management in rural primary care is a weak part of domestic chronic disease management, the improvement of which will contribute to the achievement of goals of healthy China and rural vitalization. We performed comparisons between three foreign typical chronic disease management models (chronic care model, innovative care for chronic conditions framework, chronic disease self-management program) , and between three domestic typical ones (chronic disease self-management model, community general practice chronic disease health management model, Xiamen "three division co management" chronic disease management model) , in terms of features, service providers, merits and limitations. On this basis, we proposed recommendations on improving rural chronic disease management in China from four aspects: talent team building, multi-sectoral cooperation, government responsibility, and patient self-management.

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