我国社区卒中防治：医防融合视角下的卒中防治现状、挑战与策略分析 Prevention and Treatment of Stroke in Chinese Communities: Analysis of Current Status, Challenges, and Strategies of Stroke Prevention and Treatment from the Perspective of Integration of Medical Care and Prevention

卒中已成为我国居民死亡和残疾的首要原因，具有发病率高、致残率高、死亡率高和复发率高的特点，给家庭和社会带来沉重负担。为应对该挑战，近年来以医防融合为核心的社区卒中防治模式逐渐受到重视，该模式强调并推动了我国卒中诊疗从“以治疗为主”向“防治结合并重”转变，并取得了一定成果。然而，现有防治体系在专业培训、资源利用、信息化建设、政策支持等方面仍有不足。本文系统梳理了当前社区卒中防治的现状，从人力资源、资金投入、物质资源和政策与管理方面凝练出关键问题与优化策略建议，为推进医防融合模式提供理论框架和实践路径。 Abstract: Stroke has become the leading cause of death and disability among residents in China, characterized by high incidence, disability, mortality, and recurrence rates, placing a heavy burden on families and society. In response to this challenge, the community stroke prevention and treatment model centered on the integration of medical care and prevention has gained increasing attention in recent years. This model emphasizes and promotes the shift of stroke diagnosis and treatment in China from “focusing mainly on treatment” to “equal emphasis on prevention and treatment”. While some progress has been made, the existing prevention and treatment system still has shortcomings in professional training, resource utilization, information construction, and policy support. This paper systematically reviews the current status of community stroke prevention and treatment, refining key issues and optimization strategies from the aspects of human resources, financial investment, material resources, and policies and management, thereby providing a theoretical framework and practical path for advancing the integration of medical care and prevention model.