Abstract:

The model of proactive care delivery is becoming a hot research topic. In China, the implementation of proactive care has revealed some problems, which may be due to unclear definition and connotation of proactive care, and unclear division of labor in various undertaking bodies. We combed the definition and connotation of proactive care, then analyzed and summarized the implementation status of proactive care in China. After that, we put forward implementation strategies for various undertaking bodies in accordance with the actual domestic conditions to improve the implementation effectiveness of proactive care to achieve universal health, and to move forward to the future of proactive care in China. The government should formulate a national proactive care plan, establish a proactive care promotion organization, regulate the cooperation between relevant departments, and optimize the community environment. Medical institutions should develop and implement health plans, prevent and treat diseases, and help the public to improve health literacy and develop healthy behavior and habits. Residents should develop healthy living habits according to the features of themselves and their families in a proactively and self-disciplined way. Relevant departments should take actions to promote stakeholders of proactive care resources to be engaged in proactive care implementation.

Key words: Active health, Health plan implementation, Responsibility subjects, Health services, Health promotion, Population health management

摘要：

以主动健康为导向的医疗服务模式正逐渐成为国内外研究的热点。但是，目前我国主动健康的定义及内涵尚不十分明晰，各主体责任分工不够明确，因此在主动健康的实施中存在若干问题。本文对主动健康的定义及内涵进行梳理，就目前我国主动健康的实施现状进行分析并总结归纳。在认识现状，分析现状的基础上，提出对主动健康各责任主体实施策略的建议和展望：卫生健康行政部门应制定主动健康计划、建立主动健康促进组织、协调相关部门联动、优化社区环境；医疗机构应制定并实施健康计划、预防及治疗疾病、帮助社会公众提升健康素养及养成健康行为习惯；居民应做到自主自律，养成符合自身和家庭特点的健康生活习惯；推进主动健康资源相关方的参与，以此提升主动健康实施效果，最终实现全民健康。

关键词: 主动健康, 卫生计划实施, 任务主体, 卫生服务, 健康促进, 人口健康管理