基于重大疫情防控的医防融合策略研究

目的 基于目前疫情防控新形势下提出医防融合的策略建议。方法 分析在疫情防控形势下医防融合的新内涵和主要障碍，并根据疫情防控的现实情况提出相应建议。结果 医防融合的障碍包括:相关法律法规有待完善、医疗机构与疾控机构缺乏有效协调衔接机制、公共卫生人才队伍建设仍需加强、医院未重视公共卫生职能、基层传染病防控基础较薄弱。结论 可从宏观、中观、微观三个层面来进行医防融合。其中，宏观层面包括完善法律法规体系、增强社会氛围；中观层面包括提高医院公共卫生工作积极性、增强基层医疗机构传染病防控能力、促进医防信息的融合；微观层面则关注人员的融合，即提高公共卫生人员地位与待遇、进行医学教育改革，培养“防治结合”型人才、打通疾控与医疗机构人员互通渠道。

Strategy research on integration of treatment and prevention based on major epidemic prevention and control

Abstract: Objective To propose a strategy for medical-defense integration based on the current new situation of epidemic prevention and control. Methods The new connotation and main obstacles of the integration of treatment and prevention under the situation of epidemic prevention and control were analyzed, and corresponding suggestions were put forward according to the actual situation of epidemic prevention and control. Results Obstacles to the integration of treatment and prevention include: relevant laws and regulations need to be improved, medical institutions and disease control institution slack effective coordination and interface mechanisms, public health personnel team construction still needs to be strengthened, hospitals do not pay attention to public health functions, and the foundation of infectious disease prevention and control at the grassroots level is weak. Conclusion The integration of medical prevention and control can be carried out at three levels: macro, meso and micro. Among them, the macro level includes improving the legal and regulatory system and enhancing the social atmosphere; the meso level includes improving the enthusiasm of public health work in hospitals, enhancing the ability of primary medical institutions to prevent and control infectious diseases, and promoting the integration of medical and defense information; the micro level focuses on the integration of personnel, i.e., improving the status and treatment of public health personnel, carrying out medical education reform, cultivating “prevention and control combined "personnel and opening up the channels of communication between CDC and medical institutions.