Article(id=1321169743550202231, tenantId=1146029695717560320, journalId=1319373219989389464, issueId=1321169668631548508, articleNumber=null, orderNo=null, doi=10.11847/zgggws1147561, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1743350400000, receivedDateStr=2025-03-31, revisedDate=1748275200000, revisedDateStr=2025-05-27, acceptedDate=1754236800000, acceptedDateStr=2025-08-04, onlineDate=1792921013009, onlineDateStr=2026-10-25, pubDate=1757433600000, pubDateStr=2025-09-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792921013009, onlineIssueDateStr=2026-10-25, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792921013009, creator=13701087609, updateTime=1792921013009, updator=13701087609, issue=Issue{id=1321169668631548508, tenantId=1146029695717560320, journalId=1319373219989389464, year='2025', volume='41', issue='9', pageStart='1025', pageEnd='1152', issueExtLink='null', onlineDate='null', pubDate='1757433600000', pubDateStr='2025-09-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792920995147, creator='13701087609', updateTime=1792920995147, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=1086, endPage=1090, ext={EN=ArticleExt(id=1321169743776694648, articleId=1321169743550202231, tenantId=1146029695717560320, journalId=1319373219989389464, language=EN, title=Implementation status of treatment-prevention integration for infectious diseases in public hospitals in China，2023：a cross-sectional study, columnId=1320427696342020970, journalTitle=Chinese Journal of Public Health, columnName=Epidemiological Research, runingTitle=null, highlight=null, articleAbstract=
Objective To analyze the implementation status of treatment-prevention integration for infectious diseases in public hospitals in China, providing decision-making reference for formulating and improving the policy of treatment-prevention integration for infectious diseases.
Methods From March to June 2023, a questionnaire survey was conducted to investigate the current implementation status of treatment-prevention integration in 296 general hospitals and 15 infectious disease hospitals in 15 provinces (autonomous regions, municipalities) in eastern, central, and western China.
Results Among the surveyed hospitals, 45.37% established internal policies related to treatment-prevention integration, and 64.19% of general hospitals and 60% of infectious disease hospitals had independent public health departments. Among general hospitals, 56.76% had infection departments focusing primarily on treatment with limited prevention work, while 19.59% had infection departments with balanced treatment and prevention tasks (each 50%). Most (98.99%) of general hospitals and all infectious disease hospitals received supervision and guidance from disease control agencies for infectious disease prevention and control. The public health work in 65.20% of general hospitals and 66.67% of infectious disease hospitals was included in performance evaluation. A proportion of general hospitals (47.64%) and infectious disease hospitals (86.67%) participated in different types of medical alliances. Over 90% of hospitals had only partial or no functional linkage between their information systems and those of disease control agencies.
Conclusions Medical institutions are increasingly emphasizing treatment-prevention integration, while there is a lack of top-level design and specific planning. The motivation for integration between institutions remains insufficient, and the fulfillment of public health responsibilities within institutions is inadequate. The functional roles of different organizational models for treatment-prevention integration for infectious disease need further clarification. The linkage in resource-sharing information systems requires improvement.
, authors=Hang XU, Xiaojing MA, Meng JIA, Yue WANG, Fang WANG, authorsList=Hang XU, Xiaojing MA, Meng JIA, Yue WANG, Fang WANG, authorCompany=null, correspAuthors=Xiaojing MA, authorNote=null, correspAuthorsNote=
, copyrightStatement=Copyright © 2025 Chinese Journal of Public Health. All rights reserved., copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1321169744196125049, articleId=1321169743550202231, tenantId=1146029695717560320, journalId=1319373219989389464, language=CN, title=2023年我国公立医院传染病医防融合实施现状调查, columnId=1320427696509793132, journalTitle=中国公共卫生, columnName=流行病学研究, runingTitle=null, highlight=null, articleAbstract=
目的 分析我国公立医院传染病医防融合实施现状，为制定和完善传染病医防融合政策提供决策参考。
方法 采用现况问卷调查法，于2023年3—6月对我国东、中、西部共15个省（自治区、直辖市）的296家综合医院和15家传染病医院的医防融合实施现状进行调查。
结果 45.37%的医院内部制定了医防融合相关制度，64.19%的综合医院和60%的传染病医院设置了独立公共卫生科，综合医院中56.76%的传染（感染）科以传染病治疗为主，承担少量预防工作，19.59%的综合医院医疗和预防工作量各占50%。98.99%的综合医院和所有传染病医院的传染病防控工作均接受疾病控制机构的监督指导，65.20%的综合医院和66.67%的传染病医院的公共卫生工作被纳入考核。47.64%的综合医院和86.67%的传染病医院分别参与不同类型医疗联合体中，>90%的医院与疾病控制机构信息系统间仅存在部分功能衔接或无衔接。
结论 医疗机构对医防融合重视程度逐渐提高，但缺乏顶层设计和具体规划；机构间融合动力不足，机构内公共卫生责任履行不到位；不同类型的传染病医防融合组织模式应进一步明确功能定位；资源共享信息系统的互联互通水平有待提高。
, authors=许航, 马晓静
*, *, 贾梦, 王悦, 王芳, authorsList=许航, 马晓静, 贾梦, 王悦, 王芳, authorCompany=null, correspAuthors=马晓静, authorNote=
许航（1996—），研究实习员，硕士，研究方向：卫生政策与管理
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(2024-07-21)[2025-02-28]. https://www.gov.cn/zhengce/202407/content_6963770.htm., articleTitle=null, refAbstract=null), Reference(id=1321169748952465831, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169743550202231, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=4, rfOrder=3, authorNames=null, journalName=null, refType=null, unstructuredReference=任林琇, 张恬奕, 尤春雪, 等. 整合医疗视角下我国公立医院医防融合实施路径探析[J]. 中国公共卫生, 2024, 40(12): 1538-1544., articleTitle=null, refAbstract=null), Reference(id=1321169749040546216, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169743550202231, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=5, rfOrder=4, authorNames=null, journalName=null, refType=null, unstructuredReference=李晓燕, 赵明阳, 张光鹏. 构建新时期疾控体系人才发展新格局[J]. 中国卫生人才, 2024, 26(1): 9-15., articleTitle=null, refAbstract=null), Reference(id=1321169749153792425, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169743550202231, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=6, rfOrder=5, authorNames=null, journalName=null, refType=null, unstructuredReference=张贺乔, 周佳谋, 沈卉妍, 等. 福利多元主义视角下我国慢性病医防融合工作多元主体协同状况分析[J]. 医学与社会, 2024, 37(11): 21-27., articleTitle=null, refAbstract=null), Reference(id=1321169749560639914, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169743550202231, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=7, rfOrder=6, authorNames=null, journalName=null, refType=null, unstructuredReference=闫温馨, 郭欣, 刘霞, 等. 中国内地2004—2020年医防融合协调水平发展情况分析[J]. 中国公共卫生, 2023, 39(4): 472-478., articleTitle=null, refAbstract=null), Reference(id=1321169749875212715, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169743550202231, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=8, rfOrder=7, authorNames=null, journalName=null, refType=null, unstructuredReference=王晨舟, 张研, 张亮. 我国医防融合困境中的管理和服务机制剖析[J]. 中国卫生政策研究, 2024, 17(1): 2-8., articleTitle=null, refAbstract=null), Reference(id=1321169751544545708, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169743550202231, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=9, rfOrder=8, authorNames=null, journalName=null, refType=null, unstructuredReference=崔珑严, 代高岚歆, 陶红兵. 我国医防融合典型路径及实现机制研究——基于主题框架分析[J]. 卫生经济研究, 2024, 41(12): 16-20., articleTitle=null, refAbstract=null), Reference(id=1321169751733289389, tenantId=1146029695717560320, journalId=1319373219989389464, 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Sample hospitals′ participation in relevant organizations
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| 组织类型 | 综合医院 | | 传染病医院 |
|---|
| 数量 | 占比/% | | 数量 | 占比/% |
|---|
| 传染病医疗服务体系 | | | | | |
| 国家传染病医学中心 | 3 | 1.01 | | 0 | 0.00 |
| 国家传染病区域医疗中心 | 1 | 0.33 | | 1 | 6.67 |
| 省级传染病区域医疗中心 | 12 | 4.05 | | 4 | 26.67 |
| （区域）公共卫生（临床）中心 | 41 | 13.85 | | 3 | 20.00 |
| 医疗联合体组织 | | | | | |
| 城市医疗集团/县域医共体 | 141 | 47.64 | | | |
| 传染病专科联盟 | | | | 13 | 86.67 |
), ArticleFig(id=1321169748407206305, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169743550202231, language=CN, label=表1, caption=
样本医院参与相关组织建设情况
, figureFileSmall=null, figureFileBig=null, tableContent=
| 组织类型 | 综合医院 | | 传染病医院 |
|---|
| 数量 | 占比/% | | 数量 | 占比/% |
|---|
| 传染病医疗服务体系 | | | | | |
| 国家传染病医学中心 | 3 | 1.01 | | 0 | 0.00 |
| 国家传染病区域医疗中心 | 1 | 0.33 | | 1 | 6.67 |
| 省级传染病区域医疗中心 | 12 | 4.05 | | 4 | 26.67 |
| （区域）公共卫生（临床）中心 | 41 | 13.85 | | 3 | 20.00 |
| 医疗联合体组织 | | | | | |
| 城市医疗集团/县域医共体 | 141 | 47.64 | | | |
| 传染病专科联盟 | | | | 13 | 86.67 |
), ArticleFig(id=1321169748474315170, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169743550202231, language=EN, label=Tab.2, caption=
Resource sharing of the sample hospitals
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 综合医院 | | 传染病医院 |
|---|
| 数量 | 占比/% | | 数量 | 占比/% |
|---|
| 本机构是否与当地疾控机构建立定期的传染病防治人员交叉培训和学习交流机制 | | | | | |
| 是 | 240 | 81.08 | | 9 | 60.00 |
| 否 | 56 | 18.92 | | 6 | 40.00 |
| 本机构与哪些机构建立了防控治学研产等相关合作和资源共享 | | | | | |
| 企业 | 21 | 7.09 | | 4 | 26.67 |
| 大学/科研机构 | 54 | 18.24 | | 1 | 6.67 |
| 疾控机构 | 183 | 61.82 | | 7 | 46.67 |
| 其他医疗机构 | 118 | 39.86 | | 5 | 33.33 |
| 公共卫生机构 | 54 | 18.24 | | 3 | 20.00 |
| 其他 | 73 | 24.66 | | 2 | 13.33 |
| 本机构与公共卫生机构在哪些方面开展了合作与资源共享 | | | | | |
| 科研培训 | 84 | 28.38 | | 7 | 46.67 |
| 科研攻关 | 44 | 14.86 | | 6 | 40.00 |
| 业务技术 | 177 | 59.80 | | 10 | 66.67 |
| 实验室检测资源共享 | 160 | 54.05 | | 7 | 46.67 |
| 研究成果共享 | 43 | 14.53 | | 6 | 40.00 |
| 其他 | 34 | 11.49 | | 1 | 6.67 |
| 本机构与疾控机构之间信息共享的程度 | | | | | |
| 门诊、住院、实验室数据与疾控信息系统完全衔接 | 28 | 9.46 | | 1 | 6.67 |
| 部分衔接，具体说明衔接系统： | 154 | 52.03 | | 9 | 60.00 |
| 无衔接 | 114 | 38.51 | | 5 | 33.33 |
| 机构内部公共卫生信息系统与住院、门诊、实验室等系统衔接程度 | | | | | |
| 全部衔接 | 175 | 59.12 | | 9 | 60.00 |
| 部分衔接 | 84 | 28.38 | | 5 | 33.33 |
| 无衔接 | 37 | 12.50 | | 1 | 6.67 |
), ArticleFig(id=1321169748554006947, tenantId=1146029695717560320, journalId=1319373219989389464, articleId=1321169743550202231, language=CN, label=表2, caption=
样本医院资源共享情况
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | 综合医院 | | 传染病医院 |
|---|
| 数量 | 占比/% | | 数量 | 占比/% |
|---|
| 本机构是否与当地疾控机构建立定期的传染病防治人员交叉培训和学习交流机制 | | | | | |
| 是 | 240 | 81.08 | | 9 | 60.00 |
| 否 | 56 | 18.92 | | 6 | 40.00 |
| 本机构与哪些机构建立了防控治学研产等相关合作和资源共享 | | | | | |
| 企业 | 21 | 7.09 | | 4 | 26.67 |
| 大学/科研机构 | 54 | 18.24 | | 1 | 6.67 |
| 疾控机构 | 183 | 61.82 | | 7 | 46.67 |
| 其他医疗机构 | 118 | 39.86 | | 5 | 33.33 |
| 公共卫生机构 | 54 | 18.24 | | 3 | 20.00 |
| 其他 | 73 | 24.66 | | 2 | 13.33 |
| 本机构与公共卫生机构在哪些方面开展了合作与资源共享 | | | | | |
| 科研培训 | 84 | 28.38 | | 7 | 46.67 |
| 科研攻关 | 44 | 14.86 | | 6 | 40.00 |
| 业务技术 | 177 | 59.80 | | 10 | 66.67 |
| 实验室检测资源共享 | 160 | 54.05 | | 7 | 46.67 |
| 研究成果共享 | 43 | 14.53 | | 6 | 40.00 |
| 其他 | 34 | 11.49 | | 1 | 6.67 |
| 本机构与疾控机构之间信息共享的程度 | | | | | |
| 门诊、住院、实验室数据与疾控信息系统完全衔接 | 28 | 9.46 | | 1 | 6.67 |
| 部分衔接，具体说明衔接系统： | 154 | 52.03 | | 9 | 60.00 |
| 无衔接 | 114 | 38.51 | | 5 | 33.33 |
| 机构内部公共卫生信息系统与住院、门诊、实验室等系统衔接程度 | | | | | |
| 全部衔接 | 175 | 59.12 | | 9 | 60.00 |
| 部分衔接 | 84 | 28.38 | | 5 | 33.33 |
| 无衔接 | 37 | 12.50 | | 1 | 6.67 |
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