新医改下的机遇与挑战：社区中的尿失禁防治工作如何开展

黄海; 陈沛贤; 黄浩

doi:10.13201/j.issn.1001-1420.2024.02.001

新医改下的机遇与挑战：社区中的尿失禁防治工作如何开展

- 中山大学孙逸仙纪念医院泌尿外科(广州，510120)
基金项目:
国家重点研发计划重点专项(No：2022YFC3602904)；2020年度卫生健康适宜技术推广项目(No：151)

详细信息

作者简介:
黄海，教授，主任医师，博导，广东省医学杰出人才，中山大学孙逸仙纪念医院外科副主任，泌尿外科党支部书记兼副主任，中华医学会泌尿外科分会青年学组副组长，中华医学会泌尿外科分会尿控学组副组长，广东省基层医药学会下尿路疾病委员会主任委员，广东省医学会泌尿外科分会前列腺学组副组长，神经源性膀胱MDT团队首席专家。擅长前列腺增生、前列腺癌等前列腺疾病，以及尿频、尿急、尿失禁、膀胱过度活动症、间质性膀胱炎、神经源性膀胱、盆底功能障碍等下尿路疾病的诊治。建立CUA尿动力培训中心、骶神经调控规范化示范基地及调控中心、尿失禁与盆底修复中心、神经源性膀胱MDT团队。主持国自然基金5项，国家重点研发1项，省级教改项目1项，广东省重点国际合作2项，广州市重点国合1项，省自然、省科技10余项，牵头主持多中心临床研究10余项

通讯作者: 黄海，E-mail：huangh9@mail.sysu.edu.cn

中图分类号: R694.54

收稿日期: 2023-11-17

刊出日期: 2024-02-06

Opportunities and challenges under the new healthcare reform: how to implement urinary incontinence prevention and treatment in the community

- Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China

More Information

Corresponding author: HUANG Hai, E-mail: huangh9@mail.sysu.edu.cn

Received Date: 17 November 2023

Publish Date: 06 February 2024

摘要

摘要: 尿失禁严重影响老年患者的生理、心理、社会健康，成为威胁人类健康的世界五大疾病之一。面对庞大的患者群体，社区医疗机构可以承担绝大部分早期筛查和轻症治疗的任务，但目前国内尿失禁管理的现状为：①尿失禁患者的知晓率、治疗率和康复水平都远低于发达国家标准，慢性并发症筛查率低，疾病负担沉重，疾病医疗费用支出增长迅速；②基层医生对治疗方法的认识不足、医疗资源不足和患者依从性差。新医改有望为社区中的尿失禁防治工作提供新的机遇。本文围绕分级诊疗制度的建立、医疗技术创新和药品价格调整、社区康复锻炼服务的健全三个方面阐述新医改背景下有利于提高中国尿失禁防治效果的措施，为中国社区尿失禁防治工作提供思路。
- 新医改 /
- 尿失禁 /
- 下尿路 /
- 社区防治
Abstract: Urinary incontinence significantly affects the physiological, psychological, and social health of elderly patients, making it one of the world's top five threats to human health. Faced with a vast patient population, community medical institutions can undertake the majority of early screening and treatment for patients with mild symptoms. However, the current situation of urinary incontinence management in China is as follows. First, awareness, treatment rates, and rehabilitation levels among urinary incontinence patients are far below the standards of developed countries. Screening rates for chronic complications are low, and the disease burden is heavy, with rapidly increasing medical expenses. Second, primary healthcare professionals have insufficient knowledge of treatment methods, limited medical resources, and poor patient compliance. The new healthcare reform offers new opportunities for urinary incontinence prevention and treatment in the community. In the context of the new healthcare reform, this paper discusses measures which are conducive to improving the effectiveness of urinary incontinence prevention and treatment in China. These measures revolve around the establishment of a tiered healthcare system, medical technology innovation, drug price adjustments, and the development of community-based rehabilitation, offering insights for urinary incontinence prevention and treatment in Chinese communities.
- new healthcare reform /
- urinary incontinence /
- lower urinary tract /
- community prevention and treatment

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