主动健康下的糖尿病社区中医药综合防治与科技应对策略研究

Comprehensive prevention and treatment of diabetes by traditional Chinese medicine in community combined with health science and technology strategy under health initiative

实施健康中国战略,需要转变传统的健康理念,树立"大健康"观,把治病为中心转变为以人民健康为中心。主动健康是促进健康中国建设的重要措施,是积极应对各种健康风险的有效方法。突出与发挥中医药优势作用是主动健康的重要方面。当前,全世界糖尿病的发病率呈现急剧升高趋势。糖尿病对人们的健康产生了巨大的威胁,给国家和人民造成严重的负担。基于社区的糖尿病健康管理是糖尿病防治的有效方式。就如何充分发挥中医药在糖尿病社区防治中的优势,实现糖尿病防治"战略前移、关口前移",文章阐述了主动健康与中医治未病在糖尿病防治中的应用,分析了社区在糖尿病防治中的战略地位与中医药独特优势,认为问题有:①社区中医药服务能力不足制约了中医药防治糖尿病优势发挥;②中医药参与的社区糖尿病健康管理模式尚未健全;③糖尿病社区中医药防治主动健康与科技应对乏力。基于现有实践,文章提出:①探索建立政府-医院-社区一体化糖尿病中医药服务网络;②构建社区糖尿病中医药综合防控体系;③搭建中医药糖尿病防治关键技术社区应用与推广平台;④提升社区中医药糖尿病防治协同创新与科技应对能力。

To implement the healthy China strategy, we need to change the traditional concept of health, establish the concept of "great health", and turn the treatment of diseases into the people’s health as the center. Health initiative is an important measure to promote a healthy China, which is an effective way of coping with all sorts of health risks. Highlighting and giving full play to the advantages of traditional Chinese medicine(TCM) is an important aspect of active health. Currently, the incidence of diabetes in the world shows a sharp rise. Diabetes produces a huge threat to the people’s healthy and causes a serious burden to the country and people. Community-based diabetes health management is an effective way of prevention and cure of diabetes. Based on how to take full advantages of TCM in the prevention and treatment of diabetes in community combining with realizing the diabetes prevention and treatment of "strategic forward, pass forward", this paper expounds the application of active health and medical treatment in the prevention and treatment of diabetes, analyzes the strategic position of the community in the prevention and treatment of diabetes and the unique advantages of Chinese medicine. This paper argues that:①the insufficient service ability of TCM in communities restricts the exertion of the advantages of TCM in diabetes prevention and treatment;②The model of community diabetes health management involving traditional Chinese medicine has not been improved;③Diabetes community TCM prevention and treatment initiative health and science and technology response is weak. Based on the existing practice, this paper puts forward some suggestions and strategies. They include:① explore the establishment of a government-hospital-community integrated diabetes TCM service network;②to build a comprehensive prevention and control system of diabetes mellitus in community;③ build a platform for community application and promotion of TCM diabetes prevention and treatment key technologies;④enhance the community of traditional Chinese medicine diabetes prevention and treatment collaborative innovation and science and technology ability.