慢性非传染性疾病医防融合研究进展与挑战  

Progress and Challenges in the Integration of Treatment and Prevention of Chronic Non-communicable Diseases

作　　者：赵玉玲 顾政平 张雪莹 ZHAO Yuling;GU Zhengping;ZHANG Xueying(Qingdao Special Servicemen Recuperation Center of PLA Navy,Qingdao 266071,China;Department of Medical Sciences,Shanghai Jiao Tong University,Shanghai 200030,China)

机构地区：[1]海军青岛特勤疗养中心,山东省青岛市266071 [2]上海交通大学医学学术部,上海市200030

出　　处：《中国全科医学》2024年第31期3953-3957,共5页Chinese General Practice

基　　金：全军后勤重大科研项目(145AHQ080024001X-2);青岛市医药卫生科研计划项目(2021-WJZD255)。

摘　　要：本文全面探讨了医防融合模式在慢性非传染性疾病(以下简称慢性病)管理中的应用进展及面临的挑战。在当今社会,随着医疗技术的不断革新和人们健康意识的日益提升,医防融合模式正逐渐成为慢性病管理领域的新趋势。这种模式的出现,不仅优化了医疗资源配置,提升了医疗服务效率,还极大地促进了医患之间的有效沟通与合作。本文旨在从慢性病管理的视角,探究医防融合模式的应用现状、未来发展趋势与挑战。文章首先介绍了慢性病管理的背景,其次从医防融合模式在慢性病管理中的多个方面进行了叙述,包括多学科协作、患者随访制度、家庭医生签约服务、慢性病健康教育等,实现慢性病管理全周期、全方位的健康管理,提高患者的健康水平和生活质量。最后,作者认为未来需要加强科学研究和学科交叉、医护人员的培训和教育以及数字医疗技术的发展,以更好地满足人民日益增长的健康需求。综上所述,医防融合模式在慢性病管理中的应用前景广阔,但仍需面对诸多挑战,只有通过不断地探索和实践,才能更好地推动慢性病管理事业的持续进步。With the aging of the global population and the transformation of lifestyle,the incidence of chronic non-communicable diseases continues to rise,thus having brought great challenges to global public health.In this context,medical and health services must adapt to this growing trend,which necessitates carrying out research on the medical prevention integration mode,and gradually strengthening its application in clinical practice.This paper aims to explore the application status quo,and future development trends of the treatment-prevention integration mode,as well as the challenges it faces from the perspective of chronic non-communicable disease management.We first introduce the background of chronic non-communicable disease management,and then describe the integration of treatment and prevention from multiple aspects in chronic disease management,including multidisciplinary collaboration,patient follow-up system,family doctor signing services,and health education on chronic diseases,so as to realize the comprehensive,chronic disease management throughout the life cycle,and improve patients'health level and living quality.Finally,we believe that in the future,it is necessary to strengthen scientific and interdisciplinary research,intensify the training and education of medical staff,and enhance the development of digital medical technology,in order to better meet the growing health needs of the people.Therefore,this paper has significant reference value for exploring the management methods of chronic non-communicable diseases and promoting public health services.

关 键 词：非传染性疾病 慢性病 医防融合 慢性病管理 多学科协作 数字医疗技术 健康教育 综述 

分 类 号：R441[医药卫生—诊断学]