从疾病治疗到全生命周期健康管理医疗范式的转型
The Transformation of the Medical Paradigm from Disease Treatment to Whole-Life-Cycle Health Management
随着人口老龄化与长寿时代的到来，医疗体系面临前所未有的挑战。本文分析了当前医疗模式在应对长寿社会健康需求方面的局限，包括服务碎片化、资源配置不均与医保可持续性危机。基于价值医疗与整合医疗理论，提出全生命周期健康管理范式，强调三大转型路径：预防先行、整合协同和多元支持。在这一范式中，全科医生作为健康“守门人”发挥关键作用，通过前移健康干预关口、提供全面健康筛查和加强社区健康服务，推动慢性病全程管理与医养结合服务，并借助多层次医疗保障、健康信息互联与协同治理机制实现系统支持。这一医疗范式转型是实现“健康中国 2030”目标的重要途径，需要理论创新、实践探索与政策协同共同推进。
医药卫生理论医学现状、医学发展预防医学
医疗范式转型全生命周期健康管理长寿时代全科医学整合医疗
李永斌,汪文新,杨肖光,石慧.从疾病治疗到全生命周期健康管理医疗范式的转型[EB/OL].(2025-09-26)[2025-10-01].https://chinaxiv.org/abs/202509.00186.点此复制
With population aging and the advent of longevity erahealthcare systems face unprecedented challenges.This paper analyzes the limitations of current medical models in addressing longevity society's health needsincluding service fragmentationunbalanced resource allocationand healthcare sustainability crisis. Based on value-based healthcare and integrated care theoriesit proposes a whole life cycle health management paradigm emphasizing three transformation pathwayspreventive interventionintegrated coordinationand multi-dimensional support. In this paradigmgeneral practitioners play a key role as health gatekeepers by advancing health intervention pointsproviding comprehensive health screeningand strengthening community health servicespromoting chronic disease management and medical-nursing integrationand achieving system support through multi-level medical securityhealth information interconnectionand collaborative governance.This medical paradigm transformation is an important path to achieving the Healthy China 2030 goalsrequiring theoretical innovationpractical explorationand policy coordination.
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