体医结合视角下社区人群健康管理突破点解析  

Analysis of breakthrough point of community population health management from the perspective of physical medicine integration

作　　者：石建伟 王朝昕 金花 李子昀 周慧宁 陈晨 陈宁 杨燕 于召虎 SHI Jian-wei;WANG Zhao-xin;JIN Hua;LI Zi-yun;ZHOU Hui-ning;CHEN Cheng;CHEN Ning;YANG Yan;YU Zhao-hu(School of Public Health,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;不详)

机构地区：[1]上海交通大学医学院公共卫生学院,上海200025 [2]上海市全科医学与社区卫生发展研究中心,上海200090 [3]同济大学附属杨浦医院全科医学科,上海200090 [4]上海市静安区江宁路街道社区卫生服务中心,上海200041 [5]解放军海军第971医院神经外科,山东青岛266071

出　　处：《中华全科医学》2021年第1期1-3,9,共4页Chinese Journal of General Practice

基　　金：国家自然科学基金面上项目(71603182,71774116);国家重点研发计划项目(2018YFC2000700);上海市卫生系统优秀青年人才项目(2018YQ52);上海市浦江人才计划资助(2019PJC072);上海市公共卫生优秀学科带头人(GWV-10.2-XD07);上海市卫生计生委课题(201840132);上海市医药卫生发展基金会课题(Se1201931);上海市领军人才(YDH-20170627)。

摘　　要：作为建国以来首次由国家层面提出的健康战略规划,《"健康中国2030"规划纲要》明确提出应将体医结合作为大健康命题实现的重要手段。随着社区卫生服务机构健康管理功能的不断强化,体育健身服务与卫生服务相结合逐渐成为构建社区居民健康屏障的最佳组合。本研究系统梳理了体医结合手段在我国社区各类人群健康管理中的应用现况及瓶颈,并进一步分析国外体医结合的发展现况及特点,最终对比提出突破点。研究结果发现,我国现有社区层面体医结合应用尚处于起步阶段,关键问题包括:现有的居民体质监测结果呈现孤岛,体质监测数据并未与医疗系统打通、运动处方干预缺乏科学性和精准性、体医结合专业人才队伍建设存在不足。对比国际经验,部分发达国家体医结合开展较早,特别是在覆盖人群及疾病类别、运动处方精细度、复杂疾病精准化干预、与医疗系统结合方面均做得较好。基于此,提出我国社区人群体医融合促进健康管理的突破口在于,社区卫生服务机构应更多地参与体医结合健康管理、各类体医数据的整合与利用需进一步完善、精准运动干预需不断提升,以及复合型社区体医人才培养应不断跟进,通过多渠道实现体医结合在社区健康管理的应用突破。As the first health strategic plan put forward by the national level since the founding of the People’s Republic of China,the"Healthy China 2030 Strategic Plan"clearly puts forward that the physical medicine integration should be regarded as an important means to realize the population health.With the continuous strengthening of the health management function of community health service institutions,the physical medicine integration has gradually become the best combination of constructing community residents’health.This study systematically combed the current situation and bottleneck of the application of physical medicine integration in the health management of all kinds of people in our community,and further analyzed the development status and characteristics of the physical medicine integration abroad,and finally put forward the breakthrough point.The results showed that the existing community-level physical medicine integration application was still in its infancy.The key problems included:the existing residents’physique monitoring results were isolated islands,the physical monitoring data were not connected with the medical system,the exercise prescription intervention was not scientific and accurate,and the construction of the professional personnel team was insufficient.Compared with the international experience,some developed countries have carried out the physical medicine integration earlier,especially in the coverage group and disease category,the fineness of exercise prescription,the precise intervention of complex diseases,and the combination with the medical system.Based on this,it is suggested that the breakthrough point of promoting health management is that community health service institutions should be more involved in health management,the integration and utilization of all kinds of health data,the continuous improvement of precision exercise intervention,and the continuous follow-up of compound community medical personnel training,and finally the physical medicine integration achieve a

关 键 词：体医结合 社区 健康管理 对策 

分 类 号：R197.1[医药卫生—卫生事业管理]