从中医体质角度探寻个体化老年健康养生服务新途径

Exploring new ways of individualized health care service for the elderly from the perspective of traditional Chinese medicine constitution

当前中国人口老龄化日渐突出,老龄化及老年健康问题带来了沉重的社会和医疗负担。文章从中医体质角度提出“个体化老年健康养生服务”新理念,为普及个体化中医老年养生保健、减轻医疗负担探索了新的途径。包括根据“生命过程论”开发针对老年人群特点的体质辨识方法,从体质角度实现老年健康养生服务的个体化管理、分层管理,以及从体质个体差异角度实现老年健康养生服务的慢病管理。其中,老年健康养生服务的分层管理又包括“自主自助式”的家庭养老模式、“医养结合”的社区养老模式、“养疗结合”的机构养老模式、“旅游+健康服务”的养老模式。以上个体化老年健康养生服务是基于王琦教授提出的九体医学模块化体质分类,为老年健康管理提供了新的工具与切入点,希望以中国式思想、中国式方法应对老龄化带来的医疗卫生问题。

At present,China’s aging population is becoming increasingly prominent.Aging and health problems of the elderly have brought heavy social and medical burdens.From the perspective of traditional Chinese medicine(TCM)constitution,the author puts forward the new concept of"individualized health care service for the elderly",and explored a new way to popularize individualized health care for the elderly and reduce the medical burden.It includes developing the constitution identification method according to the“life process theory”and the characteristics of the elderly,realizing the individualized and layered management of health care services for the elderly from the perspective of TCM constitution.And the chronic disease management of elderly health care service is realized from the perspective of individual constitution difference.Among them,the hierarchical management of health care services for the elderly includes the“self-help”family pension mode,“combination of medical care and nursing”community pension mode,"combination of nursing and medical care"institutional pension mode,“combination of tourism and health service”pension mode.The above individualized elderly health care service is based on the modular constitution classification of nine-constitution medicine proposed by Professor WANG Qi,which provides a new tool and entry point for the elderly health management,hoping to deal with the medical and health problems caused by aging with Chinese thinking and Chinese methods.