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Modern Management 2025
基层慢病管理的体卫融合服务困境与促成策略研究
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Abstract:
运动干预是国际社会实施慢性病防控的重要手段，推进体育与卫生融合是强化基层慢性病管理和健康服务能力的关键举措。然而，当前我国基层慢病管理的体卫融合服务存在民众意识薄弱、专业技术人才不足、服务技术标准缺失、行业壁垒高筑、主体权责不清以及产业发展落后等问题。针对上述问题，本研究提出建立健康教育科普体系、体卫融合复合型人才“职前职后一体化”培养体系、基层慢病管理体卫融合标准体系、基层慢病管理的体卫融合服务“分级诊疗”模式以及强化体卫融合服务产业孵化培育等策略，促进基层慢性病管理的体卫融合服务新模式早日形成。
Sports intervention is an important means for the international community to implement chronic disease prevention and control. Promoting integrated sports and health is a key measure to strengthen grassroots chronic disease management and health service capabilities. However, the integrated sports and health services for grassroots chronic disease management in my country have problems such as a lack of health concepts and education, insufficient professional and technical talents, service technical standards missing, high barriers to the industry, rights and responsibilities unclear, and an immature market. To address the above issues, our study proposes to establish a popular science system for health education system, integration of pre-service and post-service education systems, service technical standards of integrated sports and health, graded diagnosis and treatment model of integrated sports and health, industrial incubation and cultivation of integrated sports and health, in order to promote a new model of integrated sports and health service for grassroots chronic disease management is formed as soon as possible.
| [1] | 陈君石. 以指南为抓手全面促进人群身体活动水平提升[J]. 中华预防医学杂志, 2022, 56(1): 1-3. |
| [2] | Luan, X., Tian, X., Zhang, H., Huang, R., Li, N., Chen, P., et al. (2019) Exercise as a Prescription for Patients with Various Diseases. Journal of Sport and Health Science, 8, 422-441. https://doi.org/10.1016/j.jshs.2019.04.002 |
| [3] | 王蕾, 张戈, 陈佩杰, 段子才. 体力活动纳入生命体征与运动转介制度: 国外经验与中国路径[J]. 上海体育学院学报, 2022, 46(7): 76-88. |
| [4] | 岳建军, 龚俊丽, 贝迎九, 等. 体力活动生命体征: 运动是良医的核心、体医融合的支点[J]. 成都体育学院学报, 2018, 44(6): 116-120. |
| [5] | 郁建兴, 涂怡欣, 吴超. 探索整合型医疗卫生服务体系的中国方案——基于安徽、山西与浙江县域医共体的调查[J]. 治理研究, 2020, 36(1): 5-15. |
| [6] | 曾志童, 王朝昕, 王慧, 等. 基于国内外最新指南的慢性病个体化、精细化健康管理服务分析及我国发展前景——以糖尿病为例[J]. 中国全科医学, 2021, 24(9): 1037-1044. |
| [7] | 李靖, 张漓. 健康中国建设中慢性病防治体医融合的试点经验、现实挑战及应用对策[J]. 体育科学, 2020, 40(12): 73-82. |
| [8] | 董宏, 王锴, 王家宏. 主动健康理念下我国体卫融合发展瓶颈与战略选择[J]. 体育科学, 2023, 43(1): 3-14. |
| [9] | Estabrooks, P.A. (2003) Physical Activity Promotion through Primary Care. Journal of the American Medical Association, 289, 2913-2916. https://doi.org/10.1001/jama.289.22.2913 |
| [10] | Joy, E., Blair, S.N., McBride, P. and Sallis, R. (2012) Physical Activity Counselling in Sports Medicine: A Call to Action. British Journal of Sports Medicine, 47, 49-53. https://doi.org/10.1136/bjsports-2012-091620 |
| [11] | 胡杨. 从体医分离到体医融合——对全民健身与全民健康深度融合的思考[J]. 体育科学, 2018, 38(7): 10-11. |
| [12] | 胡大一. 推动心肺预防康复事业高质量高水平发展[J]. 中华心血管病杂志, 2020, 48(2): 93-94. |
| [13] | 刘国纯, 王正珍, 曹春梅. 从体医融合理念到服务模式具体化: 国际运动转诊经验及其启示[J]. 体育科学, 2024, 44(7): 35-50. |
| [14] | 国家老年医学中心, 中华医学会糖尿病学分会, 中国体育科学学会. 中国2型糖尿病运动治疗指南(2024版) [J]. 中国运动医学杂志, 2024, 43(6): 419-452. |
| [15] | 张阳, 刘宝林, 崔高峰. 健康中国视域下体卫融合发展的现实壁垒与优化路径[J]. 哈尔滨体育学院学报, 2024, 45(2): 70-76. |
| [16] | 黄煌, 江蔚苇, 滕少康. 运动转诊嵌入社区初级卫生保健体系的框架制定和路径探索——以漳州市为例[J]. 中国公共卫生管理, 2024, 40(4): 500-505. |
| [17] | Asif, I., Thornton, J.S., Carek, S., Miles, C., Nayak, M., Novak, M., et al. (2022) Exercise Medicine and Physical Activity Promotion: Core Curricula for US Medical Schools, Residencies and Sports Medicine Fellowships: Developed by the American Medical Society for Sports Medicine and Endorsed by the Canadian Academy of Sport and Exercise Medicine. British Journal of Sports Medicine, 56, 369-375. https://doi.org/10.1136/bjsports-2021-104819 |
| [18] | 中国人群精准运动处方研制与运动处方库建设课题组. 主动健康理念下中国人群精准运动处方研制与运动处方库建设[J]. 北京体育大学学报, 2023, 46(11): 102-117. |
| [19] | 李彦龙, 常凤, 陈德明, 等. 我国体育与卫生融合协同治理的多重逻辑研究[J]. 山东体育学院学报, 2023, 39(1): 30-36. |
| [20] | 肖海婷, 宋昱, 高艺嘉. 体卫融合高质量发展的基本目标、现实困境及其纾解策略[J]. 武汉体育学院学报, 2024, 58(4): 38-43. |
| [21] | 左彬, 黄山鹰. 健康中国背景下我国体育与医疗卫生融合发展的实践价值、现实困境与优化路径[J]. 中国卫生经济, 2024, 43(1): 53-56+71. |
| [22] | 李利强, 吴进, 张李强, 等. 澳大利亚运动转诊对中国全科诊疗与运动协疗分担机制探索的启示[J]. 中国全科医学, 2023, 26(19): 2311-2317. |
