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重视第四级预防 构建五级预防理论框架

詹思怡 许锐恒 傅传喜

詹思怡, 许锐恒, 傅传喜. 重视第四级预防 构建五级预防理论框架[J]. 中国公共卫生, 2020, 36(12): 1729-1733. doi: 10.11847/zgggws1128892
引用本文: 詹思怡, 许锐恒, 傅传喜. 重视第四级预防 构建五级预防理论框架[J]. 中国公共卫生, 2020, 36(12): 1729-1733. doi: 10.11847/zgggws1128892
ZHAN Si-yi, XU Rui-heng, FU Chuan-xi. Importance of fourth-level prevention strategy and theoretical framework construction for five-level prevention: a brief discussion[J]. Chinese Journal of Public Health, 2020, 36(12): 1729-1733. doi: 10.11847/zgggws1128892
Citation: ZHAN Si-yi, XU Rui-heng, FU Chuan-xi. Importance of fourth-level prevention strategy and theoretical framework construction for five-level prevention: a brief discussion[J]. Chinese Journal of Public Health, 2020, 36(12): 1729-1733. doi: 10.11847/zgggws1128892

重视第四级预防 构建五级预防理论框架

doi: 10.11847/zgggws1128892
详细信息
    作者简介:

    詹思怡(1996 – ),女,浙江杭州人,硕士在读,研究方向:基于大数据的疫苗效果评估

    通讯作者:

    傅传喜,E-mail:fuchuanxi@zcmu.edu.cn

  • 中图分类号: R 19

Importance of fourth-level prevention strategy and theoretical framework construction for five-level prevention: a brief discussion

  • 摘要: 四级预防策略(零级、第一级、第二级及第三级预防)分别对应于疾病的不同发展阶段,已在中国疾病预防控制实践中发挥了巨大的作用。第四级预防指确定医疗机构中可能出现过度医疗及医源性疾病风险的个人(群体)通过干预降低或避免额外的医疗入侵,对不同的疾病发展阶段和医学干预阶段的预防策略进行分级,构建五级预防理论框架,可更加精准地指导我国的公共卫生及医学实践。为此,本文简要回顾了中国现有的预防策略,对第四级预防的概念和内涵进行了系统阐述,完善了五级预防理论框架,以期为中国疾病预防控制工作提供新的理论依据。
  • 图  1  五级预防模型图

    图  2  新型冠状病毒肺炎五级预防

    表  1  五级预防干预时序表

    五级预防干预时间对象目标
    零级预防 疾病前期 国家 社区 人群 减少危险因子出现
    第一级预防 疾病前期 社区 人群 减少或控制疾病的发生
    第二级预防 疾病早期 特定人群 健康个体 降低死亡率
    第三级预防 临床期或康复期 医院 患者 治疗 康复 减少并发症和死亡
    第四级预防 疾病全过程 医院卫生机构 患者 预防医院感染 过度医疗
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出版历程
  • 收稿日期:  2020-03-11
  • 网络出版日期:  2021-01-12
  • 刊出日期:  2020-12-10

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