从被动健康到主动健康:体医融合研究进展  

From Passive Health to Active Health:Research Progress on the Integration of Sports and Medicine

作　　者：张新萍 ZHANG Xinping(Department of P.E,Sun Yat-Sen University,Guangzhou 510275,China)

机构地区：[1]中山大学体育部,广东广州510275

出　　处：《中山大学学报(医学科学版)》2025年第1期11-20,共10页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：广东省哲学社会科学基金(GD20CTY18)。

摘　　要：在我国加速健康强国和体育强国的建设进程中,“主动健康”理念的出现对于促进健康模式的转变,体育锻炼、疾病预防和医疗救治的相互融合具有重要的意义。体医融合是“主动健康”理念的具体体现和落实,也是实施健康中国战略的重要举措,被视为推动公共卫生改革的重要战略。本文系统梳理体医融合从理念提出到实际践行的历史进程,并概括了国内外的研究进展。根据文献综述显示,我国提出体医融合时间较晚,但开展的研究已取得了一定的成效并在推行,包括体育和医疗部门已推出慢病运动指南和运动处方相关标准,探索出了多元化的体医融合模式。但也存在一些问题,例如,在顶层设计的制度需求下,不同“体医融合”模式优缺点的梳理和优化调整;在推行体医融合中存在“体医融合”体系未完善,“体医融合”人才不足等问题。综上所述,借鉴其他国家的体医融合服务模式经验,本文提出“理念先行、政府主导、体医合作”的发展策略。建议完善医保相关制度、建立体医融合人才认证、聘用和管理制度、完善高校体医融合人才培养体系等;打造以升级医院康复中心和拓展社区康体中心的“双轮”推进路径。这些改革将为政策制定提供参考,促进体医融合在我国公共卫生领域发挥更大的作用。In the process of accelerating the construction of a strong country in health and sports in China,the mode of promoting health has shifted from passive health to active health.Guided by the concept of“active health”,there is a new understanding of the relationship between sports,health,and medical care.The integration of sports and medicine is a concrete manifestation and implementation of the concept of“active health”,and an important measure to implement the Healthy China strategy,which is regarded as an important strategy to promote public health reform.This article reviews the historical path of the integration of sports and medicine from its concept to practical implementation,and finds that China proposed the integration of sports and medicine relatively late,but it has become an intense focus of academic research;The sports and medical departments have launched guidelines for chronic disease exercise and standards related to exercise prescriptions,and local governments in China have explored diversified models of integrating sports and medicine;Under the institutional requirements of top-level design,the exploration of the“integration of sports and medicine”model is flourishing.There are currently problems in promoting the integration of sports and medicine,such as the lack of a“sports and medicine integration”system and a shortage of“sports and medicine integration”talents.Drawing on the international experience of integrating sports and medical services in other countries,We propose a development strategy of“concept first,government leading,and sports and medical cooperation”;We recommend institutional optimization such as improving medical insurance related systems,establishing certification,employment,and management systems for integrated sports and medical talents,and improving the training system for integrated sports and medical talents in universities;We also advocate propose a“dual wheel”promotion path of upgrading hospital rehabilitation centers and expanding community

关 键 词：健康中国 主动健康 被动健康 体医融合 研究进展 

分 类 号：G812[文化科学—体育学] R197.1[医药卫生—卫生事业管理]