积极应对共病的挑战  

Proactively embracing the challenges of multimorbidity

作　　者：邵瑞太 宫恩莹 韩莎莎 陈思邈[1,4] 杨汀 杨维中 王辰[1,2,3,6] Shao Ruitai;Gong Enying;Han Shasha;Chen Simiao;Yang Ting;Yang Weizhong;Wang Chen(School of Population Medicine and Public Health,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;State Key Laboratory of Respiratory Health and Multimorbidity,Beijing 100730,China;Key Laboratory of Pathogen Infection Prevention and Control,Ministry of Education,Peking Union Medical College,Beijing 100730,China;Heidelberg Institute of Global Health,Faculty of Medicine and University Hospital,Heidelberg University,Heidelberg 69120,Germany;Department of Pulmonary and Critical Care Medicine,Center of Respiratory Medicine,China-Japan Friendship Hospital,Beijing 100029,China;Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院群医学及公共卫生学院,北京100730 [2]呼吸和共病全国重点实验室,北京100730 [3]病原体感染防控教育部重点实验室(北京协和医学院),北京100730 [4]海德堡大学医学院与大学医院全球卫生研究所,德国海德堡市69120 [5]中日友好医院呼吸中心呼吸与危重症医学科,北京100029 [6]中国医学科学院北京协和医学院,北京100730

出　　处：《中华医学杂志》2024年第22期2015-2021,共7页National Medical Journal of China

基　　金：中国医学科学院中央级公益性科研院所基本科研业务费(2022-ZHCH330-01)

摘　　要：随着社会经济快速发展和人口老龄化进程的加快,人类平均寿命显著增长,个体同时患有多种疾病(即共病),已成为当今人群健康的新常态,并构成了对人类健康的严峻挑战。共病不仅会大幅降低患者的生活质量、增加残疾和死亡风险,同时也加剧了疾病治疗和护理的复杂度,使得卫生系统承受更大的负担并面临更高的成本压力。本文首先梳理了共病的基本定义及其在公众认识中常见的误区,继而深入剖析了共病流行对于人群整体健康水平、社会经济发展以及卫生体系建设产生的深远影响。在此基础上,对共病带来的挑战进行了深入分析,并据此提出了具有针对性的应对策略与建议。文章的核心目标是在于引起社会各界对共病问题的广泛关注,并倡导采取更为积极主动的措施,包括规划布局针对共病的预防与诊疗体系,推动精准预防和精准治疗的有效实施,从而有效增进人民健康福祉,有力助推健康中国的建设。With rapid socio-economic development and the acceleration of population aging,the average life span of human beings has increased significantly.Individuals suffering from the co-existence of multiple diseases(multimorbidity)have become a new normal in public health and posed severe challenge to human health.Multimorbidity significantly reduces the quality of life,increases disability and mortality risks,complicates disease treatment and care and increases burden of the healthcare system with higher costs.This commentary discusses the definition of multimorbidity and common public misconceptions,then assesses its profound impact on overall public health,socio-economic development and healthcare system.We also proposes the potential strategies to meet the challenges posed by multimorbidity.The main aim is to raise awareness of multimorbidity,advocate proactive responses to improve public health and build a healthy society through the development of prevention and treatment systems and promote precision prevention and treatment for multimorbidity.

关 键 词：共病现象 共病疾病负担 共病影响因素 共病预防 共病照护 共病研究 

分 类 号：R197.1[医药卫生—卫生事业管理]