主动健康内涵分析

Connotation of active health:a literature analysis

目的探索主动健康概念内涵,为建立科学、高效、标准的主动健康管理模式提供理论基础。方法以2000—2022年涉及“主动健康”内涵的51篇国内外文献和8个相关政策、权威网站作为研究对象,运用共词分析法建立主动健康概念内涵的关键词共词矩阵和相异矩阵,并以此为基础运用SPSS 25.0软件进行多维尺度分析。结果多维尺度分析结果显示,压力系数(Stress)=0.23279,模型距离解释的百分比(RSQ)=0.71918,主动健康关键词主要分为实践理念、参与主体、实施路径和健康结果4个方面。结论主动健康的内涵包括实践理念、参与主体、实施路径和健康结果4个维度,是以整体医学观和中医治未病为理论指导,以现代科技为支撑,坚持政府主导,调动社会和个人的积极主动性,通过开展健康干预、养成健康习惯、创建健康环境,实现更高水平的全民健康的实践活动和医学模式。

Objective To explore contemporary connotation of active health for providing a theoretical basis to the development of scientific,efficient,and standard management model of active health.Methods Using active health,proactive health and protective health as preliminary key words,domestic and foreign literature and Web page contents relevant to the definition of active health were retrieved via searching databases of China National Knowledge Infrastructure,WanFang Data,VIP Data,and authoritative websites for the period from 2000 through 2022.A keyword matrix was established with co-term analysis and multidimensional scaling analysis was conducted with SPSS 25.0.Results Totally 51literatures and web page contents of 8 authoritative websites were finally included in the analysis.Multidimensional scaling analysis on dissimilar matrix of 36 screened-out key words resulted in a stress value of 0.23279 and a regression squared value of 0.71918;based on the key words,the connotation of active health could be elucidated in four dimensions:practice theory,participation subject,implementation approach,and health result.Conclusion Current connotation of active health may implicate four dimensions of practice theory,participation subject,implementation approach,and health result.More studies are needed on active health theory-based medical model and practice.