哮喘行为模式与管理经验

1、哮喘行为模式与管理经验哮喘行为模式与管理经验it must be realized that Living with athma like piloting a small plane.it must be realized that Livit must be realized that EOS 3.1%10152025ACT52009.10EOS 5.8%急性加重2010.12011.12012.12013.1未复诊preFEV1%per 90-95%之间preFEV1%per 71.5%未复诊急性加重依从治疗自行减量自行停药女性，23岁（2009）案例疾病管理：关注患者连续的健康状况和生

2、活质量患者行为：患者心理的外在表现，是对付外界环境变化的手段 个人的行为是个体和环境交互作用的产物it must be realized that EOSit must be realized that it must be realized that it must be realized that it must be realized that it must be realized that 未发表数据it must be realized that 未发表it must be realized that 来自重庆12家医院，1582例哮喘患者Self-Report Adherence

3、未发表数据it must be realized that 来自重it must be realized that Self-Report Adherence未发表数据it must be realized that Selit must be realized that 并不理想的现状哮喘的管理，对于医疗服务提供方来讲，付出远远大于直接的获益。不但需要工作人员的满腔热情，更需要大家的坚持和坚守。it must be realized that 并不理it must be realized that 【医患伙伴关系】【健康素养】【医学信息】【疾病知识】【无法由患者单独完成】it must be

4、 realized that 【医患CHANGE观 念We need change策 略CHANGE观 念We need change策 略What we can change医生患者What we can change医生患者HOW to change设备规范费用人员效率空间时间平台基于网络的疾病管理平台系统HOW to change设备规范费用人员效率空间时间平HOW to change空间HOW to change空间HOW to change人员慢病管理核心团队门诊病房肺功能痰细胞学脱敏治疗医技护常规护理HOW to change人员慢病管理核心团队门诊病房肺HOW to change

5、设备肺功能FeNo其他HOW to change设备肺功能FeNo其他HOW to change 支撑资源 技术方案可以支撑的资源（人、物、空间)可能支撑的资源（人、物、空间)平台层面医疗层面具体的实际的 管理策略标准化是个体化的基石！尽一切可能标准化规范HOW to change 支撑资源 技术方案可以HOW to changeChronicAirwayDiseaseCareCenter:801平台HOW to changeChronichttp:/cHOW to change效率网络化的管理平台规范化的过程管理基于细节的持续改进可用资源的合理整合HOW to change效率网络化的管理平

6、台规范化的过CHANGE, WE CAN BELIVE INCHANGE, WE CAN BELIVE INCHANGE, WE CAN BELIVE INCHANGE, WE CAN BELIVE INCHANGE, WE CAN BELIVE INCHANGE, WE CAN BELIVE INCHANGE, WE CAN BELIVE IN When I was young and free and my imagination had no limits,I dreamed of changing theworld.As I grew older and wiser, I discov

7、ered the world would not change, so I shortened my sights somewhat and decided to change only my country. But it, too, seemed immovable.As I grewinto my twilight years, in one last desperate attempt, I settled for changing only my family, those closest to me, but alas, they would have none of it.And now, as Ilie on my death bed, I suddenly realize:If I had only changed myself first, then by example I would have changed my family.From their in spiration and encouragement, I would then have been able to better my country,and who knows, I may have even changed the world. CHANGE, WE CAN BELIV