体医融合背景下的糖尿病防治：美国经验及启示

doi:10.12114/j.issn.1007-9572.2022.0222

中国全科医学 ›› 2022, Vol. 25 ›› Issue (25): 3089-3096.DOI: 10.12114/j.issn.1007-9572.2022.0222

所属专题：内分泌代谢性疾病最新文章合辑；疾病康复与健康最新文章合辑

体医融合背景下的糖尿病防治：美国经验及启示

高原¹, 寇现娟¹^,²^,^*()

1．430079　湖北省武汉市，武汉体育学院健康科学学院
2．430079　湖北省武汉市，武汉体育学院运动训练监控湖北省重点实验室

收稿日期:2022-03-22 修回日期:2022-06-27 出版日期:2022-09-05 发布日期:2022-07-21
通讯作者: 寇现娟
高原，寇现娟.体医融合背景下的糖尿病防治：美国经验及启示[J].中国全科医学，2022，25（25）：3089-3096.[www.chinagp.net]
作者贡献：寇现娟进行文章的构思与设计，负责文章的校对、质量把控及监督管理；高原负责文章的撰写与修订。
基金资助:
教育部人文社会科学研究规划基金项目--我国慢性病防治的体医融合模式与协同治理研究(21YJA890014)

Integrating Physical Activity into Healthcare for the Prevention and Treatment of Diabetes: Insights from the U.S. Experience

Yuan GAO¹, Xianjuan KOU¹^,²^,^*()

1. College of Health Science, Wuhan Sports University, Wuhan 430079, China
2. Hubei Key Laboratory of Sport Training and Monitoring, Wuhan Sports University, Wuhan 430079, China

Received:2022-03-22 Revised:2022-06-27 Published:2022-09-05 Online:2022-07-21
Contact: Xianjuan KOU
About author:
GAO Y, KOU X J. Integrating physical activity into healthcare for the prevention and treatment of diabetes: insights from the U.S. experience [J] . Chinese General Practice, 2022, 25 (25) : 3089-3096.

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摘要/Abstract

摘要： 体医融合推动了糖尿病防治工作的蓬勃发展，但我国的体医融合起步较晚，目前尚存在诸多不足，探索适合我国的体医融合背景下的糖尿病防治措施至关重要。经过多年的实践探索，美国已经形成了较为全面的体医融合背景下糖尿病防治体系，对我国糖尿病防治工作的开展具有一定借鉴意义。本文介绍了美国糖尿病预防项目（DPP）的提出与实施过程，归纳了美国糖尿病防治中医疗保险福利体制、转诊合作创新模式、复合型人才培养方案、医疗和体育数据共享的体系构架，并结合我国的糖尿病防治开展现状和不足，给出了体医融合背景下我国开展糖尿病防治的建议，包括：加快DPP的发展，普及体医融合观念；深化社会保障制度改革，破除医疗保险条例的矛盾/冲突；推动体医融合模式创新，改善转诊服务的运行；填补复合型人才培养空缺，凸显人力资源竞争优势；搭建医疗和体育数据共享的"桥梁"，保障个人信息安全。

关键词: 体医融合, 糖尿病, 卫生政策, 健康生活方式, 美国

Abstract:

The prevention and treatment of diabetes is booming driven by the integration of physical activity into healthcare. In China, the integration of physical activity into healthcare started late and still has many imperfections, the improvement of which relies crucially on measures explored according to the national conditions. The U.S. has formed a relatively comprehensive diabetes prevention and control system based on integrating physical activity into healthcare after years of exploratory practice, which may provide insights into the development of diabetes prevention and control in China. We introduced the development and implementation of the America's National Diabetes Prevention Program (DPP) , and summarized the wellness benefit system in health insurance for diabetes, innovative models of referral cooperation, interdisciplinary talent training programs, and the framework of integrating the data of health records and physical activities in the U.S. Then based on this, we put forward the following recommendations for integrating physical activity into healthcare to improve the current diabetic prevention and treatment (including solving problems) in China: speeding up the development of a China's national DPP, and popularizing the idea of integrating physical activity into healthcare; deepening the reform of the social security system, and resolving the conflicts between medical insurance regulations; promoting the innovation of the models of integrating physical activity into healthcare, and improving the operation of referral services; filling the gap in interdisciplinary talent training to develop a competitive heath workforce; bridging the data of health records and physical activities for information sharing with good management of the privacy and security of personal information.

Key words: Sports and medical integration, Diabetes mellitus, Health policy, Healthy lifestyle, U.S.

高原,寇现娟. 体医融合背景下的糖尿病防治：美国经验及启示[J]. 中国全科医学, 2022, 25(25): 3089-3096. DOI: 10.12114/j.issn.1007-9572.2022.0222.
Yuan GAO,Xianjuan KOU. Integrating Physical Activity into Healthcare for the Prevention and Treatment of Diabetes: Insights from the U.S. Experience[J]. Chinese General Practice, 2022, 25(25): 3089-3096. DOI: 10.12114/j.issn.1007-9572.2022.0222.

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体医融合背景下的糖尿病防治：美国经验及启示

Integrating Physical Activity into Healthcare for the Prevention and Treatment of Diabetes: Insights from the U.S. Experience

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