随着慢性疾病发病率、致死率增高，造成社会经济负担巨大，慢病管理已成了全球关注的焦点。传统门诊急性诊疗模式不太适应慢性病的特点，为慢病科研的开展造成了困难。而慢病管理属于防治慢性疾病的一种新模式，为患者提供全面的管理，保证患者依从性，以达到促进健康、延缓进程、减少并发症、延长寿命、提高生活质量等目的，同时对临床科研的开展，促进科研成果的临床转化有良好的促进作用，或许将成为未来诊疗慢性病的新模式。

Chronic disease management has been a spotlight of public health in the world since noninfectious chronic disease featured high morbidity and mortality,bringing a huge burden in socioeconomic.However,traditional outpatient quick diagnosis pattern was unapplicable to noninfectious chronic diseases,which formed a hassle for carrying out clinical researches.Chronic disease management was a new clinical pattern for preventing chronic diseases, whose aim was to secure adherence in patients.Admittedly,it was beneficial to promote health,slow down the progress of diseases, reduce the complications and improve the quality of life.Meanwhile,significant progress has been made in clinical research to press ahead with its transition to clinical practice.It was believed that chronic disease management would turn into the main stream pattern for preventing noninfectious chronic disease.

国家中医药管理局行业专项（201007005）：慢性肾炎蛋白尿和慢性肾脏病4 期中医优化方案推广研究，负责人：刘旭生；科学技术部国家“十二五”科技支撑计划（2013BAI02B04）：中医药治疗慢性肾脏病 5期（非透析）的效果比较研究，负责人：刘旭生；广东省科技厅科研项目（2014A020221087）：慢性肾脏病患者中西医用药依从性测量量表的编制及评估，负责人：吴一帆。