医疗需要改变-newcenturysciencepress.pdf

Global Journal of Hospital Administration，2015,Vol.3,No.2 /index.php/gjha Analysis on major medical reform Shao-qing Li, Kai-bin Huang Chinese Academy of functional medicine, Shanghai, China Received: Nov 16, 2015 Accepted: Dec 08, 2015 Published: Dec 23, 2015 DOI:10.14725/gjha.v3n2.a1367 URL:/10.14725/gjha.v3n2.a1367 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract In this paper, we analyzed the current status of medical health. Although the current medical investment is growing, it is still with difficulties to control the high incidence of chronic diseases, iatrogenic disease and the wide spread of excessive medical treatment. In view of these situations, medical reform is imperative. The paper discussed the difficulties faced by health care reform, put forward the idea of major medical reform and mass health, and compared the differences between functional medicine and the current medical treatment. Moreover, we proposed the idea of functional medicine, which is more adapted to mass health, and made the prospect of future medical model. Key words Medical reform; Functional medicine; Mass health 医疗需要改变 李绍清，黄开斌 中国功能医学研究院，上海，中国 通讯作者：李绍清，E-mail: naturedoctor@126.com 【摘要】本文就目前的医疗卫生现状进行分析，发现虽然目前医疗投入日益增长，但仍无法控制慢性病的高 发，医源性疾病居高不下，过度医疗普遍存在。有鉴于此医疗改革势在必行。在此笔者对医改面临的困难 进行了探讨，提出了大医改与大健康的构想，比较了功能医学与当前医疗的不同，提出功能医学更适应大 健康的构想，并对未来医疗模式作了展望。 【关键词】医疗改革；功能医学；大健康 1 医疗卫生的现状及困境 1.1 采用对抗性治疗思维体系的医疗存在不足 随着发起于欧洲的工业科学革命，医学也随之获得极大发展， 以往动辄死亡几十万的流行性传染病被人类控制，对外伤或急性疾病（如急性感染、传染性疾病、交通伤 害等）的诊断和治疗极具特长，人类对自己身体的认识也比以往任何时候都要多得多。但是，科学革命的 成就使人们视自己身体也如同机器一样看待，使用对抗的思维，缺乏人性的思考。 还原主义是科学思维的核心，但这导致了现代医学看待生命的方式与看待机器一样，是线性的、机械 的，以疾病为中心，以药物和手术治疗为导向，忽视个体差异性，采用对抗的治疗思维体系，这种思维方 式在急性病的诊断和治疗上堪称典范，但无法认识生命的神奇，也不能很好地认识现代退化性疾病。导致 的结果是作为完整的人很少被理解，对疾病的诊断是分离的，问题处理也是孤立的，关注的是疾病，治疗 的是症状。以致现代医学不能理解今天以炎症性疾