Doctor-patient-family collaboration in community-based chronic disease management to enhance multidimensional value

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2024-12-12 DOI:10.1016/j.pec.2024.108604

Shengchao Sun , Ting Li , Anqi Zheng , Zexu Zhang , Qingyun Wang , Chao Chen , Zhirong Zeng

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引用次数: 0

Abstract

The United Nations Sustainable Development Goal (SDG 3) aims to strengthen healthcare systems, combat chronic and infectious diseases, and improve global health. However, chronic diseases pose significant public health challenges, straining healthcare resources and escalating economic burdens. In China, they affect 180 million people, account for over 90 % of the national disease burden, and are the leading cause of mortality. Community chronic disease management faces challenges such as limited capacity, uneven resource allocation, and weak information systems. Despite policies to improve primary healthcare, outcomes remain modest due to implementation gaps. Addressing these issues requires creating "multidimensional value" through collaboration among doctors, patients, families, and communities. This framework emphasizes functional value (efficiency), social value (community ties), emotional value (well-being), and health value (better outcomes). However, most research narrowly focuses on doctor-patient collaboration, overlooking broader dynamics involving families and community healthcare providers. By explicitly exploring the goals and collaborative roles of doctor-patient-family value co-creation in community chronic disease management, we aim to develop well informed strategies to enhance interaction and resource integration, offering insights for China and scalable solutions for global health.

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以社区为基础的慢性病管理中的医患家庭合作，以提高多维价值。

联合国可持续发展目标（SDG 3）旨在加强卫生保健系统，抗击慢性病和传染病，改善全球健康。然而，慢性病对公共卫生构成重大挑战，使医疗资源紧张，经济负担不断加重。在中国，这些疾病影响1.8亿人，占全国疾病负担的90%以上，是导致死亡的主要原因。社区慢性病管理面临能力有限、资源分配不均和信息系统薄弱等挑战。尽管有改善初级卫生保健的政策，但由于实施差距，结果仍然有限。解决这些问题需要通过医生、患者、家庭和社区之间的合作创造“多维价值”。这个框架强调功能价值（效率）、社会价值（社区关系）、情感价值（幸福）和健康价值（更好的结果）。然而，大多数研究狭隘地关注医患合作，忽视了涉及家庭和社区医疗保健提供者的更广泛的动态。通过明确探索社区慢性病管理中医患家庭价值共同创造的目标和协同作用，我们旨在制定明智的策略，加强互动和资源整合，为中国提供见解，为全球健康提供可扩展的解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.