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Driving forces behind the development of the "Integrated Control and Prevention of Three Highs and Six Diseases" strategy for chronic disease management in Shandong province: a multiple streams framework-based analysis
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Wenyu FAN1, 2, Yu ZHANG1, 2, Haipeng WANG1, 2, Cong QI3, Gaohui ZHANG3, Liangxia CHEN3, Xiaopang RAO4, Yang ZHAO5, 6
Chinese Journal of Public Health | 2025, 41(2) : 129 - 133
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Chinese Journal of Public Health | 2025, 41(2): 129-133
• Special Report – "Integrated Control and Prevention of Three Highs and Six Diseases" strategy for chronic disease management •
Driving forces behind the development of the "Integrated Control and Prevention of Three Highs and Six Diseases" strategy for chronic disease management in Shandong province: a multiple streams framework-based analysis
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Wenyu FAN1, 2, Yu ZHANG1, 2, Haipeng WANG1, 2, Cong QI3, Gaohui ZHANG3, Liangxia CHEN3, Xiaopang RAO4, Yang ZHAO5, 6
Affiliations
  • 1Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
  • 2Key Laboratory of Health Economics and Policy Research of National Health Commission (Shandong University), Jinan 250012, China
  • 3Shandong Provincial Center for Disease Control and Prevention, Jinan 250014, China
  • 4Qingdao Chengyang People's Hospital, Qingdao 266109, China
  • 5George Institute for Global Health, University of New South Wales, Sydney 2050, Australia
  • 6Melbourne School of Population and Global Health, University of Melbourne, Melbourne 3010, Australia
Published: 2025-02-10 doi: 10.11847/zgggws1143951
Outline
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This study elucidates the evolutionary mechanism of the "Integrated Control and Prevention of Three Highs (high blood pressure/glucose/lipids) and Six Diseases (coronary heart disease, stroke, renal lesions, retinal lesions, peripheral neuropathy, and peripheral vascular lesions)" strategy for chronic disease management to explore its future development direction. This study uses the multiple streams framework (MSF) to analyze the influencing factors of the policy changes in the "Integrated Control and Prevention of Three Highs and Six Diseases" strategy and points out the necessity and rationality of this strategy. The study found that the emergence of chronic disease management problems, public sentiment, suggestions from experts and scholars, national governance philosophy, and the formulation of relevant policies all influence the development of chronic disease management policies. The effective confluence of the problem stream, policy stream, and political stream is the main reason for the emergence of the "Integrated Control and Prevention of Three Highs and Six Diseases" strategy. Under the guidance of the MSF, the "Integrated Control and Prevention of Three Highs and Six Diseases" strategy should be further optimized from the perspectives of problem, policy, and political perspectives and provide a reference for further improvement of chronic disease management policies.

multiple streams framework  /  "Integrated Control and Prevention of Three Highs and Six Diseases" strategy  /  chronic disease management
范文瑜, 张玉, 王海鹏, 齐聪, 张高辉, 陈良侠, 饶小胖, 赵洋. 多源流理论视角下山东省“三高共管 六病同防”慢性病管理政策变迁动力分析. 中国公共卫生, 2025 , 41 (2) : 129 -133 . DOI: 10.11847/zgggws1143951
Wenyu FAN, Yu ZHANG, Haipeng WANG, Cong QI, Gaohui ZHANG, Liangxia CHEN, Xiaopang RAO, Yang ZHAO. Driving forces behind the development of the "Integrated Control and Prevention of Three Highs and Six Diseases" strategy for chronic disease management in Shandong province: a multiple streams framework-based analysis[J]. Chinese Journal of Public Health, 2025 , 41 (2) : 129 -133 . DOI: 10.11847/zgggws1143951
Appendix
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Year 2025 volume 41 Issue 2
72
33
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Article Info
doi: 10.11847/zgggws1143951
  • Receive Date：2024-01-04
  • Online Date：2026-10-25
  • Published：2025-02-10
Article Data
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History
  • Received：2024-01-04
  • Revised：2024-05-17
  • Accepted：2024-11-08
Affiliations
    1Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    2Key Laboratory of Health Economics and Policy Research of National Health Commission (Shandong University), Jinan 250012, China
    3Shandong Provincial Center for Disease Control and Prevention, Jinan 250014, China
    4Qingdao Chengyang People's Hospital, Qingdao 266109, China
    5George Institute for Global Health, University of New South Wales, Sydney 2050, Australia
    6Melbourne School of Population and Global Health, University of Melbourne, Melbourne 3010, Australia

Corresponding:

WANG Haipeng, E-mail:
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