國人生活型態與人口結構改變,平均餘命延長使的慢性疾病逐年上升,慢性病健康照讓因而成為全球公共衛生迫切面對的議題。如何協助慢性疾病病人有效健康管理以降低慢性病衝擊,延長合併症出現時間並預防其他相關危險因子的影響已成為當務之急。慢性病帶來的影響不僅對個人身心帶來極大傷害,同時對家庭、社會及國家的醫療體系都帶來重大負擔,個案面臨幾乎是終身的健康需求,傳統醫院導向的健康照護方式已經無法應付個案健康需求。本文嘗試以慢性病健康管理的觀點,探討宏觀的慢性疾病管理模式,並回顧慢性病照護相關現況與概念,希望從預防的角度與多元策略切入,提供讀者不同思考模式,為慢性病管理注入不同照護視野。
Because of the changes of public's lifestyles and demographical structure, the incidence rates of various chronic diseases increase as the publics' life expectancy increases. The issues on chronic patient care that the global public health encounters today become urgent. To overcome the impact of the chronic disease, to delay the onset of chronic diseases, and to prevent chronic disease through effective health care strategies and management have become the imperative subjects in global public health. The chronic diseases not only damage patient's health, but also bring the family and the national health care system a burden to some extent as well. The care needs of the chronic patients are lifelong, and the traditional health care system has its difficulty in meeting their needs. The purpose of this study is to probe a chronic care model from a view point of chronic care management. This article also reviews current chronic care status and related concepts. The author expects that the multi-pronged strategies for chronic care can provide readers with a different thinking mode for the vision of the management for the patient with chronic disease.