合作与分工:关于“医防融合”的思考  

Cooperated and Shared Care:Reflections on Treatment-prevention Integration

作　　者：杨辉 YANG Hui(Monash University,Melbourne 3168,Australia)

机构地区：[1]Monash University,Melbourne 3168,Australia

出　　处：《中国全科医学》2023年第22期2711-2714,共4页Chinese General Practice

摘　　要：慢性非传染性疾病患病率的持续升高及新型冠状病毒感染(COVID-19)疫情在世界范围内的大流行,再次将与疫情防控密切相关的预防活动提升到全社会关注的层面。健康的预防与治疗间的关系是一个长久话题,但COVID-19疫情高峰期后,中国卫生行政部门提出要“创新医防协同、医防融合机制”,再次引起医学界和学术界的重视和反思。医疗和预防是密不可分的,如何实现“医”与“防”的协调与平衡?“医防融合”的全科解决方案如何?这些均值得进一步研究与探索。本文从明确治疗和预防的概念入手,分析导致二者被拆分的原因,进而探索二者有效衔接、相互协同之道,并为全科研究者提供了进一步的研究方向,呼吁全科同仁贡献全科智慧,助推“医防融合”对健康中国的贡献。The persistent elevation of the prevalence of chronic non-communicable diseases and sudden pandemic of COVID-19 infections have once again attracted the attention of the whole society to prevention activities closely associated with epidemic prevention. Although the correlation between prevention and treatment of health is a long-term topic,innovation and mechanism of treatment-prevention integration proposed by Chinese health administration after the peak of COVID-19 epidemic has attracted attention and reflections of the medical and academic fields. Medical treatment and prevention are inseparable.The questions such as how to achieve the coordination and balance between treatment and prevention,what is the solution of treatment-prevention integration,are worth further study and exploration. Beginning with clarifying the concept of treatment and prevention,this paper analyzes the reasons for the separation of treatment and prevention,explores the approaches for effective connection and cooperative interaction between the two,thus providing further research directions for general practice researchers,calling on colleagues in general practice to contribute their wisdom and promote the contribution of treatmentprevention integration to healthy China.

关 键 词：医防融合 合作服务 分担服务 预防卫生服务 慢性病管理 传染病防治 全科医学 研究 

分 类 号：R197[医药卫生—卫生事业管理]