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  

Australian Physical Activity Referral and Its Implications for the Sharing Mechanism of General Practice and Sports Co-treatment in China

作　　者：李利强 吴进 张李强 汪晓赞[2] LI Liqiang;WU Jin;ZHANG Liqiang;WANG Xiaozan(College of Physical Education,Xizang Minzu University,Xianyang 712082,China;College of Physical Education and Health,East China Normal University,Shanghai 200241,China;Xizang Plateau Sports and Health Research Center,Xianyang 712082,China)

机构地区：[1]西藏民族大学体育学院,陕西省咸阳市712082 [2]华东师范大学体育与健康学院,上海市200241 [3]西藏高原体育与健康研究中心,陕西省咸阳市712082

出　　处：《中国全科医学》2023年第19期2311-2317,共7页Chinese General Practice

基　　金：教育部哲学社会科学研究专项(党的二十大精神研究)项目;教育部人文社会科学研究青年项目(19XZJC890001);陕西省教育科学“十四五”规划2022年度课题(SGH22Y1357)。

摘　　要：随着中国城镇化、人口老龄化进程的加快,居民各类慢性病患病率日益升高,医疗和公共卫生领域面临的慢性病防控形势愈加严峻。运动转诊(PARS)作为重要的诊疗方式之一,在国外慢性病防治中取得了明显成效,其中澳大利亚的PARS成为“诊疗+协疗”的典范。本研究全面梳理了澳大利亚PARS的形成与发展,并对其实施经验进行汇总分析。结合中国医疗卫生和运动康复领域发展现状,建议从以下方面构建中国全科诊疗与运动协疗的分担和互动机制:构建以全科医学为核心的转诊架构,促进全科诊疗与运动协疗协同治理;健全全科医学与锻炼生理学人才培养体系,加快培养医用运动与健康教练;推进服务制度体系创新,加快全科诊疗与运动协疗科学化流程建设;大力发挥互联网优势,搭建全科诊疗与运动协疗的数据信息平台。As the acceleration of urbanization and population aging in China,the prevalence of various chronic diseases among residents is increasing,the prevention and control of various chronic diseases in the medical care and public health fields are becoming more and more severe.As one of the important treatment modalities,physical activity referral schemes(PARS) have achieved remarkable results in the prevention and treatment of chronic diseases abroad,among which PARS in Australia has become a model for "treatment + co-treatment".This study overviews the formation and development of PARS in Australia comprehensively,summarizes and analyzes its implementation experience.It is recommended to build a sharing and interaction mechanism of general practice and sports co-treatment in China in the context of the current development situation of medical care and sports rehabilitation in China from the following aspects:building a referral structure with general practice as the core,promoting the synergistic governance of general practice and sports co-treatment;improving the personnel training system of general practice and exercise physiology,accelerating the training of medical exercise and health coaches;promoting the innovation of the service system,accelerating the construction of scientific process of general practice and sports co-treatment;exerting the advantages of the Internet vigorously to build a data and information platform of general practice and sports cotreatment.

关 键 词：运动转诊 全科医疗 运动协疗 分担机制 澳大利亚 

分 类 号：R197[医药卫生—卫生事业管理]