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体医融合背景下区域性五级康复服务模式探索——以北京市海淀区为例
陈颇静, 杨一卓, 李剑锋, 李晓, 张明燕, 郑维, 杨淑霞, 张岩, 邱丽玲, 郭建军, 刘雷
首都体育学院学报 ›› 2026, Vol. 38 ›› Issue (2) : 205-211.
PDF(1225 KB)
PDF(1225 KB)
体医融合背景下区域性五级康复服务模式探索——以北京市海淀区为例
Exploration of Regional Five-level Rehabilitation Service Model under the Background of Integration of Sports and Medicine —— Taking Haidian District of Beijing as an Example
随着我国某些疾病救治率的持续提升,康复服务的刚性需求呈显著增长态势。近年来,随着我国医疗卫生服务体系改革逐步深化,国家层面出台了一系列政策支持康复医学发展和促进完善社区康复服务体系。北京市政府相关部门通过优化医疗资源布局、统筹分配区域性康复治疗资源等措施,逐步构建了分级、分阶段的康复服务体系。根据北京市海淀区的康复服务需求及医疗资源的分配情况,构建包括三级医院康复医学科、二级康复医院、社区卫生服务中心、居家康复服务及运动场景康复服务在内的区域性五级康复服务模式。该模式是完善社区康复服务体系、实现康复诊断技术规范化应用、制定医学康复路径标准、管控康复治疗流程和建设康复医学专业人才梯队的可行方法。
With the continuous improvement of the treatment rate of some diseases in China, the rigid demand for rehabilitation services has shown a significant growth trend. In recent years, with the gradual deepening of the reform of China’s medical and health service system, a series of national policies have been issued at the national level to support the development of rehabilitation medicine and improve the community rehabilitation service system. By optimizing the distribution of medical resources and coordinating the allocation of regional rehabilitation treatment resources, the relevant departments of the Beijing Municipal Government have gradually established a hierarchical and phased rehabilitation service system. Based on the rehabilitation service demand and medical resource allocation in Haidian District of Beijing, a regional five-level rehabilitation service model was constructed, covering rehabilitation medicine departments in tertiary hospitals, secondary rehabilitation hospitals, community health service centers, home-based rehabilitation services and sports-scenario rehabilitation services.. This model is a feasible method to improve the community rehabilitation service system, realize the standardized application of rehabilitation diagnostic techniques, formulate the standard of medical rehabilitation paths, control the rehabilitation treatment process, and build the echelon of rehabilitation medical professionals.
体医融合 / 区域性五级康复服务模式 / 分级诊疗体系
integration of sports and medicine / regional five-level rehabilitation service model / hierarchical medical system
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Community-based exercise programs delivered through healthcare-community partnerships (CBEP-HCPs) are beneficial to individuals with balance and mobility limitations. For the community to benefit, however, these programs must be sustained over time.
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Community-based exercise programs integrating a healthcare-community partnership (CBEP-HCP) can facilitate lifelong exercise participation for people post-stroke. Understanding the process of implementation from multiple perspectives can inform strategies to promote program sustainability.
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Technological advancements facilitate feedback adaptation in rehabilitation through virtual reality (VR) exergaming, serious gaming, wearables, and telerehabilitation for older adults fall prevention. Although studies have evaluated these technologies, no comparisons of their effectiveness have been conducted to date. Thus, this study aims to assess the differences in effectiveness of these interventions on balance and functional mobility in the older adults. A systematic review and network meta-analysis (NMA) were conducted to identify the most effective interventions for improving balance and functional mobility in adults aged 60 and over. The search was conducted in five databases (PubMed, Embase, Cochrane Central Register of Controlled Trials, Scopus, and Web of Science) up to June 10, 2023. The eligibility criteria were: (1) older adults, (2) functional mobility, balance, or gait as the primary outcome, (3) new technology intervention, and (4) randomized study design. New technology interventions were classified into five categories: exergaming with balance platforms or motion capture technologies, other serious gaming, interventions with wearables, and telerehabilitation. Additionally, two categories of control interventions (conventional exercises and no treatment) were extracted. The NMA was performed for the aggregated results of all outcomes, and separately for clinical functional scales, functional mobility, and gait speed results. Fifty-two RCTs with 3081 participants were included. Exergaming with motion capture was found to be statistically significant in producing a better effect than no treatment in the analysis of the functional mobility with an SMD of −0.70 (P < 0.01). The network meta-analysis revealed that exergaming with motion capture offers greater therapeutic benefits for functional mobility and balance compared to no treatment control. The effectiveness of this approach is similar to that of conventional exercises. Further RCTs are needed to provide a more definitive conclusion, particularly with respect to the effectiveness of serious games, telerehabilitation, and interventions with wearables.
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To systematically review the effectiveness of guided telerehabilitation on improving functional performance in community-dwelling older adults.
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