澳大利亚运动转诊对中国全科诊疗与运动协疗分担机制探索的启示

Australian Physical Activity Referral and Its Implications for the Sharing Mechanism of General Practice and Sports Co-treatment in China

随着中国城镇化、人口老龄化进程的加快,居民各类慢性病患病率日益升高,医疗和公共卫生领域面临的慢性病防控形势愈加严峻。运动转诊(PARS)作为重要的诊疗方式之一,在国外慢性病防治中取得了明显成效,其中澳大利亚的PARS成为“诊疗+协疗”的典范。本研究全面梳理了澳大利亚PARS的形成与发展,并对其实施经验进行汇总分析。结合中国医疗卫生和运动康复领域发展现状,建议从以下方面构建中国全科诊疗与运动协疗的分担和互动机制:构建以全科医学为核心的转诊架构,促进全科诊疗与运动协疗协同治理;健全全科医学与锻炼生理学人才培养体系,加快培养医用运动与健康教练;推进服务制度体系创新,加快全科诊疗与运动协疗科学化流程建设;大力发挥互联网优势,搭建全科诊疗与运动协疗的数据信息平台。

As the acceleration of urbanization and population aging in China,the prevalence of various chronic diseases among residents is increasing,the prevention and control of various chronic diseases in the medical care and public health fields are becoming more and more severe.As one of the important treatment modalities,physical activity referral schemes(PARS) have achieved remarkable results in the prevention and treatment of chronic diseases abroad,among which PARS in Australia has become a model for "treatment + co-treatment".This study overviews the formation and development of PARS in Australia comprehensively,summarizes and analyzes its implementation experience.It is recommended to build a sharing and interaction mechanism of general practice and sports co-treatment in China in the context of the current development situation of medical care and sports rehabilitation in China from the following aspects:building a referral structure with general practice as the core,promoting the synergistic governance of general practice and sports co-treatment;improving the personnel training system of general practice and exercise physiology,accelerating the training of medical exercise and health coaches;promoting the innovation of the service system,accelerating the construction of scientific process of general practice and sports co-treatment;exerting the advantages of the Internet vigorously to build a data and information platform of general practice and sports cotreatment.