运动转诊服务纳入医疗卫生优先事项的卫生经济学分析

doi:10.15942/j.jcsu.2024.01.013

成都体育学院学报 ›› 2024, Vol. 50 ›› Issue (1): 112-121.doi: 10.15942/j.jcsu.2024.01.013

• 运动训练与运动人体科学 • 上一篇下一篇

运动转诊服务纳入医疗卫生优先事项的卫生经济学分析

刘国纯^1,2, 曹春梅², 马新东², 张献博³, 王正珍⁴

1.重庆医科大学体育医学学院,重庆,400331;
2.清华大学体育部,北京,100084;
3.北京医院内分泌科国家老年医学中心中国医学科学院老年医学研究院,北京,100730;
4.北京体育大学,北京,100084

收稿日期:2023-11-21 修回日期:2023-12-23 出版日期:2024-01-15 发布日期:2024-02-19
通讯作者: 王正珍,博士,教授,博士生导师,研究方向:慢性疾病运动干预;E-mail:zhengzhenwang1005@126.com。
作者简介:刘国纯,副教授,博士研究生,研究方向:体育与公共健康;E-mail:lgc890206@163.com。
基金资助:
国家重点研发计划重大慢性非传染性疾病防控研究专项“运动是良医干预方案的优化与效果、安全性及卫生经济效益评价”(2016YFC1300202);重庆市社会科学规划项目“体育与公共卫生治理:《运动医学》融入全科医学教育体系的策略研究”(2021PY29)。

A Health Economic Analysis of the Inclusion of Exercise Referral Services in Healthcare Priorities

LIU Guohun^1,2, CAO Chunmei², MA Xindong², ZHANG Xianbo³, WANG Zhengzhen⁴

1. College of exercise Medicine, Chongqing Medical University, Chongqing 400331;
2. Division of Sports Science and Physical Education, Tsinghua University, Beijing 100084;
3. National Geriatrics Center,Department of Endocrinology,Beijing Hospital,Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730;
4. Beijing Sports University,Beijing 100084

Received:2023-11-21 Revised:2023-12-23 Online:2024-01-15 Published:2024-02-19

摘要/Abstract

摘要： 当前,运动转诊服务获得了世界卫生组织推荐,正成为全球公共卫生优先事项。中国体医融合服务尚未获得政策优先级,可能受制于卫生经济学证据不足。文章系统梳理了身体活动不足的全球疾病负担研究,得知:(1)患病率。2010—2018年中国身体活动不足患病率上升7.93%;(2)健康负担。1990—2019年中国可归因于身体活动不足的死亡人数增长3.24倍、残疾调整寿命年增长2.64倍、健康寿命损失年增长2.89倍、寿命损失年增长2.58倍,过去近30年健康负担持续增长;(3)经济负担。2020—2030年,身体活动不足将引起4 517.01万例12种常见非传染性疾病,导致医疗卫生和医疗保健总成本达到36 694.53亿元;(4)宏观经济收益。2020—2050年解决身体活动不足将为中国带来的累积经济收益41 473.48~150 124.07亿元。这些数据为中国运动转诊服务纳入医疗卫生优先事项提供卫生经济学证据,但提升政策优先级还需:(1)进行独立的中国身体活动不足的疾病负担测算,为医疗卫生政策提供可靠证据;(2)将运动转诊作为中国非传染性疾病治理的优先政策;(3)建立运动转诊机制,并将运动转诊服务纳入医疗卫生服务目录。

关键词: 运动转诊, 身体活动不足, 非传染性疾病负担, 医疗卫生服务, 优先事项, 全民健身

Abstract: Exercise referral services have received WHO recommendations and are becoming a global public health priority. Integration of exercise into the healthcare system in China has not yet received policy priority and may be constrained by insufficient health economics evidence. A systematic review of studies on the global burden of disease of physical inactivity revealed that (1) prevalence. the prevalence of physical inactivity in China increased by 7.93% from 2010-2018; (2) health burden. the number of deaths attributable to physical inactivity in China from 1990-2019 increased by 3.24 times, disability-adjusted life expectancy (DALE) increased 2.64 times per year, life expectancy loss (LES) increased 2.89 times per year, and disability life expectancy loss (DALE) increased 2.56 times per year, and the health burden has continued to grow over the past nearly 30 years;(3)Economic burden.In 2020-2030, the 12 common NCDs attributed to insufficient physical activity will generate 45,170,100 cases, resulting in a total cost of 3669.45 billion RMB for healthcare and healthcare;(4)Macroeconomic gains.The cumulative minimal economic gains from addressing insufficient physical activity in China in 2020-2050 are expected to be to be 4.14 trillion yuan, and the maximum gain is expected to be 15.01 trillion RMB. These data provide health economics evidence for the inclusion of exercise referral services as a healthcare priority in China, but elevating the policy priority will require (1)an independent measure of the burden of disease of physical inactivity in China to provide reliable evidence for healthcare policy;(2)the inclusion of exercise referral as a priority policy for the management of non-communicable diseases in China;(3)the establishment of a mechanism for referral to exercise and the inclusion of exercise referral services in the catalogue of healthcare services.

Key words: Exercise referrals, physical inactivity, NCD burden, health services, priorities, national fitness

中图分类号:

G804.5

刘国纯, 曹春梅, 马新东, 张献博, 王正珍. 运动转诊服务纳入医疗卫生优先事项的卫生经济学分析[J]. 成都体育学院学报, 2024, 50(1): 112-121.

LIU Guohun, CAO Chunmei, MA Xindong, ZHANG Xianbo, WANG Zhengzhen. A Health Economic Analysis of the Inclusion of Exercise Referral Services in Healthcare Priorities[J]. Journal of Chengdu Sport University, 2024, 50(1): 112-121.

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链接本文: https://cdtyxb.cdsu.edu.cn/CN/10.15942/j.jcsu.2024.01.013

https://cdtyxb.cdsu.edu.cn/CN/Y2024/V50/I1/112

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运动转诊服务纳入医疗卫生优先事项的卫生经济学分析

A Health Economic Analysis of the Inclusion of Exercise Referral Services in Healthcare Priorities

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