转变思维模式积极应对我国慢性病“井喷”的挑战  

To curb the "blowout" of chronic diseases China should change the traditional disease-oriented thinking mode first

作　　者：傅华[1] 李洋[1] 彭伟霞[1] 高峻岭[2] 钱海红[3] 戴俊明[1] 郑频频[1] 

机构地区：[1]复旦大学公共卫生学院预防医学教研室,上海200032 [2]复旦大学公共卫生学院健康行为与健康教育教研室,上海200032 [3]复旦大学上海医学院,上海200032

出　　处：《复旦学报（医学版）》2012年第4期331-334,341,共5页Fudan University Journal of Medical Sciences

摘　　要：本文在陈述我国慢性病及其危险因素严峻形势的基础上,分析了导致慢性病发生因素的复杂关系,提出必须以健康生态学的社会系统论思维模式,把资源和精力重点放在干预慢性病发生的上游因素上,强化政府的主导作用和社会的责任,建立有效的多部门合作机制,改革当前卫生系统只是适合诊断和治疗急性病的不合理因素。提出只有整合全社会的力量、各负其责,才可有效应对慢性病"井喷"的挑战。China is facing rapid increased epidemic of chronic diseases,but current investment to meet the challenges from the chronic diseases has been greatly influenced by traditional disease-oriented thinking model which emphasizes how to diagnose and treatment the diseases but less concerns to upstream social determinants of health.This article reviewed the comprehensive relationship among factors related to the chronic diseases with ecological model of health.Based on this systematic thinking mode,much resource for chronic diseases prevention and control should be invested to upstream of the disease causes.Accountabilities from governments and society should be greatly emphasized.An effective mechanisms need to be established,including incentives and legislation to motivate public involvement and all sectors for health-supportive action and make them accountable for the health effects.Integrated and outcome-oriented system in health sector should be developed to provide qualified services for prevention and management of chronic diseases.

关 键 词：慢性病 预防控制 思维模式 健康生态学模型 卫生系统改革 

分 类 号：R197[医药卫生—卫生事业管理]