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引用本文:王耀羚,杨畅,顾雪非,等.日本、韩国、新加坡健康体重管理政策的经验及启示——基于ICCC框架[J].中国卫生政策研究,2025,18(7):27-34
日本、韩国、新加坡健康体重管理政策的经验及启示——基于ICCC框架
投稿时间:2025-07-01  修订日期:2025-07-21  PDF全文浏览  HTML全文浏览
王耀羚1,杨畅2,顾雪非1,李雪1,郭武栋1
1.国家卫生健康委卫生发展研究中心 北京 100044;2.大连医科大学公共卫生学院 辽宁大连 116044
摘要:目的 本文旨在通过分析日本、韩国、新加坡的体重管理政策,为完善我国体重健康管理及代谢性疾病防治体系提供国际经验。方法 基于慢性病创新照护框架(Innovative Care for Chronic Conditions Framework,ICCC),采用文献综述与政策分析方法搜索日本、韩国和新加坡健康体重管理相关政策及文献并进行归纳,系统回顾分析相关策略和做法,并总结经验启示。结果 三个国家均构建了多层级协同治理体系:宏观层面通过立法保障、跨部门协作和多元筹资建立制度基础;中观层面依托全周期医保服务、多学科协作及智能信息系统提升管理效率,社区层面通过健康教育和环境改造营造支持氛围;微观层面则注重个性化干预和家庭参与以增强自我管理能力。结论 我国可借鉴邻国经验,建立多级联动的防控体系,强化基层卫生服务能力,完善医疗保障,推动从疾病治疗向健康管理的转型,构建具有中国特色的健康体重管理方案。
关键词:慢性病创新照护框架  体重管理  肥胖  卫生政策  国际经验
Experiences and implications of healthy weight management policies in Japan, South Korea, and Singapore: Based on the ICCC framework
WANG Yao-ling1, YANG Chang2, GU Xue-fei1, LI Xue1, GUO Wu-dong1
1.China National Health Development Research Center, Beijing 100044, China;2.School of Public Health, Dalian Medical University, Dalian Liaoning 116044, China
Abstract:Objective This study aims to analyze the weight management policy practices in Japan, South Korea, and Singapore to provide international references for improving China's weight health management and metabolic disease prevention system.Methods Based on the Innovative Care for Chronic Conditions Framework (ICCC), we conducted a literature review and policy analysis methods of domestic and international policies and publications on weight management, systematically analyzing and summarizing relevant strategies and practices to extract key insights in Japan, South Korea, and Singapore.Results All three countries have established a multi-level collaborative governance system: at the macro level, they built institutional foundations through legislation, cross-sectoral collaboration, and diversified financing; at the meso level, they enhanced management efficiency via comprehensive medical services, multidisciplinary coordination, and smart information systems, while community-level initiatives fostered supportive environments through health education and environmental modifications; at the micro level, they emphasized personalized interventions and family involvement to strengthen self-management capabilities.Conclusion China can learn from these neighboring countries' experiences to develop a multi-tiered prevention system, strengthen primary care capacity, improve medical security mechanisms, and facilitate a shift from disease treatment to health management, ultimately constructing a weight management solution with Chinese characteristics.
Key words:Innovative Care for Chronic Conditions Framework  Weight management  Obesity  Health policy  International experience
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