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.

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