医防融合背景下基层全科医师提升四级预防能力的探讨

Promotion of four-level prevention ability of grass-roots general practitioners under the background of medical and preventive integration

党的十八大以来,卫生健康工作方针仍坚持预防为主,强调防治结合、医防融合,继续深入推进基层医防融合。本文在传统的“三级预防”基础上增加了中国香港家庭医学学院预防医学提及的“第四级预防”,分别对应基层全科医师日常工作中涉及的科普能力、未分化疾病临床思维与决策能力、亚专长发展慢性病管理能力及避免过度诊疗能力四个方面,对其提升疾病的四级预防综合能力进行探讨。

Since the holding of the 18th National Congress of the Communist Party of China(CPC),the principle of health work has placed prevention as the priority,emphasized the integration of prevention and treatment,and further promoted the integration of community-level medical prevention and control.In this paper,on the basis of the traditional"tertiary prevention",the fourth level prevention mentioned by the China Hong Kong College of Family Physicians is also discussed.Such four-level prevention ability corresponds to science popularization involved in the daily work of basic general practitioners,undifferentiated disease clinical thinking and decision-making,subspecialty development of chronic disease management,and avoidance of excessive care,This paper aims to discuss the role of such four-level prevention ability in improving comprehensive disease prevention.