[1]张雪雨,谭华伟,李 孜,等.慢性阻塞性肺疾病的医防融合实践、难点与优化[J].卫生经济研究,2026,43(04):16-20.
　ZHANG Xueyu,TAN Huawei,LI Zi,et al.Medical and Preventive Integration for Chronic Obstructive Pulmonary Disease:Practical Processes, Key Challenges and Optimization Pathways[J].Journal Press of Health Economics Research,2026,43(04):16-20.
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慢性阻塞性肺疾病的医防融合实践、难点与优化

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
43
期数:
2026年04期
页码:
16-20
栏目:
出版日期:
2026-03-30

文章信息/Info

Title:
Medical and Preventive Integration for Chronic Obstructive Pulmonary Disease:Practical Processes, Key Challenges and Optimization Pathways
作者:
张雪雨1; 谭华伟2; 李 孜2; 方 浩2; 郑万会3; 崔钰婷4; 何孝崇5
1.华中科技大学同济医学院医药卫生管理学院，湖北 武汉 430030
2.重庆工商大学公共管理学院，重庆 400020
3.重庆医科大学附属北碚医院，重庆 400700
4.重庆医科大学公共卫生学院，重庆 400016
5.陆军军医大学护理管理学教研室，重庆 400038
Author(s):
ZHANG Xueyu;  TAN Huawei;  LI Zi;  FANG Hao;  ZHENG Wanhui;  CUI Yuting;  HE Xiaochong
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei 430030, China
关键词:
慢性阻塞性肺疾病; 医防融合; 基本公共卫生服务
Keywords:
chronic obstructive pulmonary disease;  medical and preventive integration;  basic public health services
分类号:
R19
文献标志码:
A
摘要:
医防融合是破解慢性阻塞性肺疾病低诊疗率、低治疗率、低治疗规范率、低居民疾病知晓率的关键策略。重庆黔江区构建了组织一体化、机制一体化、路径一体化的整合型慢性阻塞性肺疾病医防融合模式，以“一室四站”、集约服务包、分级分色管理、健康积分为抓手，强化医防服务的连续性、综合性和协调性，提升医防融合的管理效能。然而，在实践过程中也存在难点问题，如政策保障碎片化导致管理融合失焦、资金配置分散导致绩效融合失衡、数智能力滞后导致信息融合失联、主动健康缺位导致供给体系失效。对此，亟须通过健全政策支持体系、创新基金统筹机制、打造数字共享平台、培育主动健康行为等，提升慢性阻塞性肺疾病医防融合的实践效果，为建立标准化和规范化的医防融合模式提供参考。
Abstract:
Medical and preventive integration is a key strategy for addressing the challenges of low diagnosis rates, low treatment rates, poor adherence to treatment standards, and limited public awareness of chronic obstructive pulmonary disease (COPD). This study focused on the pilot implementation of an integrated COPD medical and preventive model in Qianjiang District, Chongqing, and identifies key elements from its practice of organizational, institutional, and procedural integration-including bundled service packages, graded and color-coded management, health points systems, and integrated performance evaluation. The findings revealed that the reform of COPD medical and preventive integration in Qianjiang had significantly promoted healthier patient behaviors, enhanced institutional service capacity, and improved patient health outcomes. However, its further development was constrained by several factors: fragmented policy guarantees had led to a lack of focus in management integration; dispersed funding allocation had weakened the alignment of performance integration; lagging digital capabilities had disrupted information integration; and the absence of proactive health initiatives had undermined the effectiveness of the service delivery system. It is therefore essential to strengthen institutional guarantees, establish long-term economic support, enhance information connectivity, and reinforce community engagement in order to consolidate the foundation for sustainable COPD medical and preventive integration.

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更新日期/Last Update: 2026-03-30