Study On The Implementation Of Health Education Policy For Chronic Disease Patients In Hangzhou Public Tertiary Hospitals

China’s Medium and Long-term Plan for Chronic Disease Prevention and Control(2017-2025)puts chronic disease prevention and control education at the forefront of chronic disease prevention and control strategies and measures.With the gradual increase in the incidence of chronic diseases,the increase in deaths,and the younger age of onset of chronic diseases in China,chronic disease prevention and control work is facing severe challenges.Conducting health education is also of great significance for China’s chronic disease prevention and control.This study selected the first batch of chronic disease health education bases in Hangzhou as the research object,and took the implementation of health education policies for chronic patients in outpatient clinics of Hangzhou chronic disease health education base as the research focus.Based on the perspective of public policy implementation,this study adopted the interview method and used Smith’s policy execution theory model to summarize the results achieved and problems encountered in policy execution process,analyzed the causes of problems.Finally,proposed countermeasures to improve the implementation of health education policies for chronic disease patients in outpatient clinics from four dimensions of Smith’s policy execution theory model.The research found that first,there are some problems in Hangzhou’s public tertiary hospitals when implementing health education policies for chronic disease patients.Not only are there problems with the policies themselves,but also with the implementation capacity and efficiency of policy implementation agencies,understanding and cooperation of policy target groups,social and economic environment where policy implementation takes place,etc.Second,based on causal analysis of existing problems,they can be summarized as insufficient policy support,unclear policy details,lack of special policies;lack of unified implementation standards,high input costs,difficulty in quantifying assessment of implementing entities;low participation rate,insufficient understanding,and game between target groups and implementing entities;insufficient combination with international standards,lack of social environment support,economic level constraints.Combining with the experience reference of health education policy implementation in the United States and Japan,relevant countermeasures are proposed:Firstly,improve the health education system by issuing work norms,increasing professional education and talent training efforts while increasing special fund investment;secondly,gradually establish a health education professional part-time or full-time personnel system and a quantified assessment system for public hospital outpatient clinics;thirdly,implement differentiated health education for different groups of chronic disease patients to change their inherent cognition about outpatient clinic health education;fourthly,create exclusive places for chronic disease health education in public tertiary hospitals,focus on cooperation,encourage participation by all sectors of society to form a political environment conducive to policy execution as well as social environment and cultural environment that fully demonstrate advantages of health education.