“大健康”空间及设施:内涵·分类·研究框架

Research on comprehensive health spaces and facilities: Connotation,classification and research framework

以“防—治—养”一体化视角对大健康空间及设施进行体系分类、功能界定,并对其与公众健康的关联性及影响机制进行归纳与总结,以期形成一套系统性、逻辑性的大健康研究框架与体系,为大健康在空间载体和设施保障的研究提供方向引导与方法支撑。借助CiteSpace软件梳理文献后发现:健康前期预防端通过减少环境风险暴露、促进健康行为活动影响公众健康;健康中期治疗端的设施可达性、服务质量、空间布局及设计等因素是影响公众健康的主要因素;健康后期康养端在提高心理恢复力、推动健康老龄化上起到重要作用;大健康空间及设施与公众健康相关性的实证研究及因果关系的分析、健康评价体系中指标选取和混淆变量的控制等方面存在不足。

Space and facility is an important entry point of residents’ health intervention, to classify the system and define the functions of comprehensive health spaces and facilities from the perspective of “prevention, treatment and maintenance”, and to summarize their relevance and influence mechanism with public health, in order to form a set of systematic, logical comprehensive health research framework and system;It provides direction guidance and method support for the research on space carrier and facility guarantee of comprehensive health. After reviewing the literature with the help of CiteSpace software, it was found that: pre-health prevention end affects public health by reducing exposure to environmental risks and promoting healthy behaviors;The accessibility of facilities, service quality, spatial layout and design of mid-health treatment end are the main factors affecting public health;The latter-health maintenance end plays an important role in improving psychological resilience and promoting healthy aging;The empirical study of the correlation between comprehensive health spaces and facilities and public health, the analysis of causality, the selection of indicators and the control of confounding variables in the health evaluation system are insufficient.