体力活动纳入生命体征与运动转介制度:国外经验与中国路径

Physical Activity Vital Sign and Exercise Referral Schemes:Experience from Abroad and China

对国外体力活动纳入生命体征和运动转介这两项体卫融合的实务操作制度进行综合分析,并探讨二者在“Exercise Is Medicine”解决方案中的具体应用,为我国体卫融合的行动策略与实施路径提供借鉴。结果显示:将体力活动纳入生命体征并确定简捷有效的测评工具,推动在卫生保健和临床诊疗工作中常规进行体力活动的评估,可实现“融体于卫”;为了使运动处方/建议得以实施,卫生保健/医疗工作者将有锻炼需求者转介到经专门资质认证的社区体育锻炼资源中,从而做到“联卫于体”。通过上述关键环节形成体卫融合从启动到落实的完整闭环。建议:我国应基于运动促进健康理念,设计制订体卫融合的完整实施路线;在体力活动评估和运动转介制度这两项关键环节注重操作性与资源建设;在卫生健康领域拓展运动健康促进的覆盖范围。

In order to provide references for the action strategy and implementation path of the integration of physical activity and health care system in China,the physical activity vital sign and exercise referral schemes which act as two practical operation systems in the integration of physical activity and health care system abroad are analyzed in general,and the specific application of these two systems in the"Exercise Is Medicine"solution is discussed.By incorporating physical activity into vital signs and confirming simple and effective assessment tools,making physical activity assessment a standard in health care and clinical diagnosis and treatment,the goal of"integrating physical activity into medicine"can be achieved.Furthermore,to enable exercise prescriptions/counselling to be implemented,health care providers/physicians refer people with exercise needs to qualified community physical exercise resources,the task of"connecting medicine to physical activity"can be achieved.Through these two key links,a complete closed loop of the integration of physical activity and primary health care will be formed from start to implementation.It is suggested that the complete implementation route of the integration of physical activity and primary health care should be designed and formulated based on the clear idea of the great role of physical activity in health promotion.The operation and resource should be focused on in the two key links of physical activity assessment and exercise referral system;the coverage of physical activity health promotion be expanded in primary health care in China.