居民健康体检项目重庆专家共识OA
Chongqing expert consensus on resident health examination items
随着我国经济发展水平与国民健康意识提升,居民健康体检需求持续增长.体检项目的设置需遵循科学性及适宜性的整体原则.鉴于中国人口结构复杂、经济发展不均衡,不同地区居民在生活环境、饮食习惯、健康素养上存在明显差异,导致疾病谱呈地域特征,且既往共识未明确检查频次,易引发重复检查与资源浪费.为落实国家卫生健康委《成人健康体检项目推荐指引(2025年版)》的工作部署,统一、规范并推广区域居民健康体检项目应用,重庆市医学会健康管理学分会牵头组织呼吸、内分泌、肿瘤及健康管理等领域专家,基于近年重庆居民慢性病数据、结合区域疾病谱特点调整体检项目,并依据心脑血管疾病、糖尿病、癌症及慢性阻塞性肺疾病等重点慢性病指南,明确检查频次,兼顾有效性与经济性.在系统梳理国内指南、共识并总结临床实践经验形成共识初稿后,采用名义小组法,经过3轮专家论证、修订、完善并形成终稿,内容涵盖体检项目推荐原则、使用建议、居民基本体检项目和重大慢性病筛查等专项体检项目.该共识可为医院健康管理中心和体检机构等提供规范化操作指引,助力提升区域健康体检质量,为健康管理体系建设提供参考.
With China's improvement of economic development and increase of residents'health awareness,the demand for health examination among residents grows continuously.The setting of health ex-amination items must adhere to the overall principles of scientific validity and appropriateness.Due to China's complex population structure,and unbalanced economic development,residents in different regions experi-ence significant disparities in living conditions,dietary habits,and health literacy.These factors contribute to notable regional variations in disease prevalence.Additionally,previous consensus statements have not clarified the frequency of examinations,which easily leads to repeated examinations and medical resource waste.To im-plement the work deployment of the Recommended Guidelines for Adult Health Examination Items(2025 E-dition)issued by the General Office of the National Health Commission,and to unify,standardize and promote the application of regional resident health examination items,the Health Management Branch of Chongqing Medical Association has organized experts in respiratory medicine,endocrinology,oncology,health manage-ment and other fields.Based on the data of chronic diseases among Chongqing residents in recent years,the consensus tailors examination items in line with the regional disease spectrum,and clarifies examination fre-quencies according to the guidelines for major chronic diseases such as cardiovascular and cerebrovascular dis-eases,diabetes,cancer,and chronic obstructive pulmonary disease,balancing clinical effectiveness and cost-ef-fectiveness.After systematically reviewing domestic guidelines,consensuses and clinical practices to form the first draft,the nominal group technique was adopted.After three rounds of expert discussion,revision and im-provement,the final consensus was formulated,covering the recommended principles and application sugges-tions of health examination items,basic examination items for residents,and special examination items such as major chronic disease screening.This consensus can provide standardized operational guidelines for hospital health management centers and physical examination institutions,thereby improving the quality of regional health examination and providing reference for the construction of the health management system.
重庆市医学会健康管理学分会;陈宗涛
陆军军医大学第一附属医院(西南医院)健康管理科
医药卫生
健康体检体检项目慢性病筛查专家共识重庆
health examinationexamination itemschronic disease screeningexpert consensusChongqing
《重庆医学》 2026 (3)
481-488,8
重庆市卫生健康委医学科研项目(2025WSJK100).
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