PDF(Pubmed)
Abstract：
The ideal future state of health for the world\'s populations requires a cohesive model that considers the synergistic roles of communities, public health and healthcare. This future state reaffirms the importance of the relationship between practitioner and patient, focuses on the whole person, is informed by evidence, and makes use of all appropriate therapeutic and lifestyle approaches, healthcare professionals and disciplines to achieve optimal health and healing. This is the definition of Integrative Medicine. We are far from this idealistic future. Healthcare costs continue to escalate while life expectancy declines. We train our future healthcare professionals in our current disease-based model that prioritizes siloed pharmaceutical and interventional approaches over whole person prevention focused care. As healthcare professionals, we disregard our capacity to influence the leading risk factors for disease-related death and disability which include health behaviors, social, economic and environmental drivers. Burnout is high and rising. Rapid shifts are expected in the coming years as the current system\'s cost becomes untenable. We need a sustainable future for healthcare. That means we must figure out how to re-center on the patient, on a full spectrum of prevention and treatment, and how to influence public and community health. The future model must focus on health behaviors at its foundation, use systems thinking, be environmentally sustainable, and approach health from a population lens. The future will require an ability to consider complex systems approaches to health and wellbeing that include a focus on both the patient and the healthcare team. Research strategies must not only consider effectiveness but also reach, implementation and institutionalization in a multi-dimensional capacity that looks at whole person health as an outcome while looking at individuals in the context of where they live and work. The Integrative Medicine community has an opportunity to help lead the way to a sustainable and health focused future.
摘要：
世界人口健康的理想未来状态需要一个考虑社区协同作用的有凝聚力的模型，公共卫生和医疗保健。这种未来的状态重申了医生和病人之间关系的重要性，专注于整个人，有证据，并利用所有适当的治疗和生活方式，医疗保健专业人员和学科，以实现最佳的健康和愈合。这就是中西医结合的定义。我们远离这个理想主义的未来。医疗保健成本继续上升，而预期寿命下降。我们在当前的基于疾病的模式中培训未来的医疗保健专业人员，该模式优先考虑孤立的药物和介入方法，而不是全人预防为重点的护理。作为医疗保健专业人士，我们忽视了影响疾病相关死亡和残疾的主要危险因素的能力，包括健康行为，社会,经济和环境驱动因素。倦怠很高，而且还在上升。随着当前系统的成本变得无法维持，预计未来几年将发生快速变化。我们需要医疗保健的可持续未来。这意味着我们必须弄清楚如何重新集中在病人身上，在全方位的预防和治疗上，以及如何影响公众和社区健康。未来的模式必须在其基础上关注健康行为，使用系统思维，环境可持续发展，从人口角度看待健康。未来将需要能够考虑复杂的系统方法来实现健康和福祉，包括关注患者和医疗团队。研究策略不仅要考虑有效性，还要达到,以多维的能力进行实施和制度化，将整个人的健康视为结果，同时在个人生活和工作的背景下看待个人。综合医学界有机会帮助引领可持续发展和以健康为重点的未来。
