全人全健康医学模式是人类社会高度发展的必然产物,是对现有医学模式的反思与补充,其创新之处在于把灵性健康纳入全人健康范畴,把全健康理念纳入医学模式,把环境友好、其他物种健康、代际发展伦理纳入医学模式考量,从而建立全人全健康医学模式,并确立其饮食、睡眠、活动及医疗4个重要干预入口,规范健康分级及阶梯治疗原则,明确结局、过程及资源三个层面的考核指标体系,强调多部门联动、跨部门协作,提高临床可操作性,形成应对全球健康挑战的协同机制。展望未来,力求实现“以疾病为中心→以健康为中心→以共生(生态整体性与生命尊严)为中心”的视野升维与行动跨越。让“健康的环境→健康的土地→健康的食物→健康的身体”成为医学的底层逻辑。遵循与落实全人全健康医学模式有利于人类自身及大自然的可持续、高质量发展,更好地造福全人类。
Abstract
The Whole Person One Health medical model is an outcome of advanced human social development, serving as both a reflection on and a supplement to existing medical models. Its innovation lies in incorporating spiritual health into the scope of holistic health and the medical model, while also integrating environmental friendliness, the health of other species, and intergenerational development ethics. This model establishes four key intervention entry points—diet, sleep, activity, and medical care—and standardizes the principles of health grading and stepped care. It specifies evaluation indicators across three levels (outcomes, processes, and resources), emphasizes multisectoral linkage and cross-sector collaboration, enhances clinical operability, and forms a collaborative mechanism to address global health challenges. The goal of the "Whole Person One Health medical model" is to shift the focus of medical practice from a "disease-centered" approach to a "health-centered" approach, and ultimately to a "symbiosis-centered" approach centered on ecological integrity and life dignity. This transformation will establish "healthy environment → healthy land → healthy food → healthy body" as the fundamental logic of medicine. Adhering to and implementing the holistic medical model is conducive to the sustainable, high-quality development of both humanity and nature, ultimately benefiting all of humanity.
关键词
全人全健康 /
医学模式 /
饮食 /
睡眠 /
活动 /
医疗
Key words
Whole Person One Health /
Medical model /
Diet /
Sleep /
Activity /
Medical care
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参考文献
[1] Conti A A. Historical evolution of the concept of health in Western medicine [J]. Acta Biomed, 2018, 89 (3):352-354.
[2] Porter R. The greatest benefit to mankind: a medical history of humanity [M]. W.W. Norton Press, 1997.
[3] Engel G L. The need for a new medical model: a challenge for biomedicine [J]. Science, 1977, 196 (4286):129-136.
[4] Langevin H M. Moving the complementary and integrative health research field toward whole person health [J]. J Altern Complement Med, 2021, 27 (8):623-626.
[5] World Health Organization. One health joint plan of action 2021 [R]. Geneva: WHO, 2021.
[6] Whitmee S, Hains A, Beyrer C, et al. Safeguarding human health in the anthropocene epoch: report of the rockefeller foundation-lancet commission on planetary health [J]. Lancet, 2015, 386 (10007):1973-2028.
[7] Nancy K. Epidemiology and the people's health [M]. Oxford:Oxford University Press, 2011.
[8] Mcewen B S. Protective and damaging effects of stress mediators [J]. N Engl J Med, 1998, 338 (3):171-179.
[9] Holt-Lunstad J, Smith T B, Layton J B. Social relationships and mortality risk: a meta-analytic review [J]. PLoS Med, 2010, 7 (7):e1000316.
[10] Kreitzer M J. Spirituality and well-being: focusing on what matters [J]. West J Nurs Res, 2012, 34 (6):707-711.
[11] Hill P L, Turiano N A. Purpose in life as a predictor of mortality across adulthood [J]. Psychol Sci, 2014, 25 (7):1482-1486.
[12] Jones K E, Patel N G, Levy M A, et al. Global trends in emerging infectious diseases [J]. Nature, 2008, 451 (7181):990-993.
[13] Pitt S J, Gunn A. The one health concept [J]. Br J Biomed Sci, 2024, 81:12366.
[14] De La Rocque S, Errecaborde K M M, Belot G, et al. One health systems strengthening in countries: tripartite tools and approaches at the human-animal-environment interface [J]. BMJ Glob Health, 2023, 8 (1):e011236.
[15] Gbd 2017 Diet Collaborators. Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the global burden of disease study 2017 [J]. Lancet, 2019, 393 (10184):1958-1972.
[16] Lyckenvik T, Olsson M, Forsberg M, et al. Sleep reduces CSF concentrations of beta-amyloid and tau: a randomized crossover study in healthy adults [J]. Fluids Barriers CNS, 2025, 22 (1):84.
[17] Tajiri E, Yoshimura E, Tobina T,et al. Effects of sleep restriction on food intake and appetite under free-living conditions: a randomized crossover trial[J]. Appetite, 2023,189:106998.
[18] 郭树彬,阮国添,石汉平。营养治疗是疾病的基础治疗、一线治疗 [J/CD]. 肿瘤代谢与营养电子杂志,2024, 11 (3):308-313.
[19] 石汉平。用营养治疗构建未来先进医学治疗体系 [J]. 中国科学:生命科学,2026, 56 (2):237-240.
[20] Wang Z W, Barazzoni R, Shi H P. Medical nutrition is one basic human right [J]. Precis Nutr, 2023, 2 (1):e00026.
[21] Hood L, Auffray C. Participatory medicine: a driving force for revolutionizing healthcare [J]. Genome Med, 2013, 5 (12):110.
[22] Johnson K, Rittenhouse D. From volume to value: progress, rationale, and guiding principles [J]. Fam Pract Manag, 2023, 30 (1):5-7.
基金
宁夏回族自治区重点研发计划项目(2026BEG01002)
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