从监测到干预:卒中防控公共卫生实践路径的思考OA

Stroke is a major public health challenge in China,and its prevention and control requires close coordination among three key links:surveillance,evaluation,and intervention.While considerable progress has been made in China's stroke prevention and control in the construction of surveillance networks and indicator systems,the development of stroke centers and emergency networks,and the implementation of high-risk population screening and medical quality control,persistent gaps in the linkage among these components still limit the efficiency of the current prevention and control pathway.From a public health practice perspective,this paper reviews the status and achievements of the three components.The surveillance system has been initially established with an expanding range of surveillance indicators,yet it faces challenges such as information silos,uneven coverage,and variable data quality.Evaluation has progressed from descriptive analysis to process assessment,but still requires improvement in systematic framework,locally validated tools,and translation into decision-making.Intervention has seen continuous enhancement of acute care systems,yet multi-sectoral collaboration,closed-loop management of high-risk populations,and post-acute care continuity need further strengthening.To address these issues,this paper proposes a whole-chain optimization strategy that includes institutional coordination to break down sectoral barriers,resource reallocation to bridge urban-rural gaps,technological empowerment to improve precision,and payment reform to drive service integration.These measures aim to shift stroke prevention and control from"technical correctness"to"practical effectiveness",providing a reference for refining China's public health pathway for stroke control.