For a long time, "emphasizing medicine over prevention" has fragmented China's medical and health service system, making it difficult for residents to obtain comprehensive, coordinated, high-quality and efficient health services. The integration of medicine and prevention plays an essential role in enhancing the continuity and coordination of medical and health services and improving the health of residents. As the providers of the integration of medicine and prevention services, the enthusiasm and initiative of medical staff directly affect the integration of medicine and prevention services.

To explore the current status and problems during the integration of medicine and prevention from the perspective of medical and public health service providers and to put forward appropriate countermeasures.

The data for this study was collected from a survey on the integration of medicine and prevention conducted in Anhui Province from July to August 2021, which combined typical sampling and stratified sampling methods, taking into account both representativeness and regional distribution. One county (district) was selected from the northern, central, and southern parts of Anhui Province for the survey. Based on the review of domestic and foreign literature and relevant policy documents, in consideration of the characteristics of the integration of medicine and prevention, the research team, after discussion and expert validation, developed a self-designed questionnaire for medical staff on the integration of medicine and prevention. The questionnaire mainly includes the basic information of the respondents, their cognition of the integration of medicine and prevention, the implementation and satisfaction of the integration of medicine and prevention. Binary Logistic regression analysis was used to explore the influencing factors of medical staff's satisfaction with the integration of medicine and prevention.

71.2% of medical staff expressed understanding of the integration of medicine and prevention, 18.6% expressed very good understanding, 50.4% considered the integration of medicine and prevention very important, and 48.5% considered it necessary. The primary way to provide services of integration of medicine and prevention was to guide healthy lifestyles, which accounted for 92.0% of the total, 83.3% of the total for education on health knowledge, and 84.1% for guidance on the rational use of medication. The main factors that affected the implementation of the integration of medicine and prevention included financial support, lack of human resources, lack of incentive mechanisms, etc. The satisfaction score of medical staff with the integration of medicine and prevention was (4.02±0.78). The regression results showed that career development, salary, and work pressure significantly affected overall satisfaction with the integration of medicine and prevention (P<0.05) .

This paper found that there are insufficients of the integration of medicine and prevention concerning service providing scope, ability, and guarantee mechanism. Therefore, to better provide residents with a high-quality integration of medicine and prevention, further expansion of the ways of service providing, optimizing the capacity and quality of the service team, and improving the guarantee mechanism are suggested.

长期以来，"重医轻防"导致我国医疗卫生服务体系呈现条块化和碎片化，居民难以获得综合协调、优质高效的健康服务。医防融合对增强医疗卫生服务的连续性和协调性，提高居民健康水平发挥着重要作用。作为医防融合服务的提供方，医务人员工作的积极性和主动性直接影响医防融合服务的效果。

从医疗卫生服务供方角度探讨医防融合实施现状，存在问题，提出适宜的对策建议。

本研究数据来自2021年7—8月在安徽省开展的一项医防融合相关工作调查，该调查结合典型抽样和分层抽样法，兼顾代表性和地区分布，在安徽省的北部、中部、南部各抽取1个县（区）开展现场调查。在查阅国内外文献及相关政策文件的基础上，结合医防融合工作特点，并经过课题组讨论和专家论证确定，自行研制了医务人员的医防融合工作调查问卷，主要包括调查对象基本情况、对医防融合认知情况、医防融合工作开展情况、医防融合工作满意度。采用二元Logistic回归分析探讨医务人员医防融合工作满意度的影响因素。

医务人员对医防融合工作表示了解的为71.2%，表示非常了解的为18.6%；认为医防融合工作非常重要的为50.4%，认为重要的为48.5%；提供医防融合服务主要途径是指导健康生活方式，占比92.0%，开展健康知识教育的83.3%，指导合理用药的84.1%；影响医防融合实施的主要因素包括缺乏资金支持、人力资源匮乏、缺乏激励机制等；医务人员对医防融合工作的满意度得分为（4.02±0.78）分。二元Logistic回归分析结果显示，职业发展、薪酬待遇和工作压力对医防融合满意度有影响（P<0.05）。

目前医防融合工作在服务范围、服务能力和保障机制等方面仍存在不足。建议进一步拓宽医防融合服务工作方式、优化基层医防融合队伍的能力素质结构、完善医防融合保障机制，为居民提供高质量的医防融合服务。