"Preventing diseases" is the only way to solve the imminent global medical crisis. Only "disease prevention" drugs are economically affordable, so they are sustainable drugs; Fair and just medicine is possible. From "treating diseases" to "preventing diseases", the word difference contains profound changes, which is by no means an extension of modern medical technology (such as early diagnosis of diseases). ). The core is the change of concept, that is, from disease-centered to people-centered; From the diagnosis and treatment of diseases to the maintenance and promotion of human health. Man is a social man, and his life is the unity of spirit and flesh (the whole body and mind), which is intrinsically related to his environment. Therefore, the transformation of medical model (from biomedicine to the combination of physiology, psychology, society and environment) is the inevitable connotation of "preventing diseases".
At present, non-communicable chronic diseases such as cancer, heart disease and cerebrovascular disease are the main threats to human health and life (accounting for 63% of the young people who died prematurely in China), and constitute the main part of the social burden of diseases (68.7%), which is increasing at the rate of 18% every year. More than half a century's research and practice show that non-communicable chronic diseases are local manifestations of the overall imbalance between body and mind. From the overall dysfunction to the occurrence of diseases, it is a process of gradual change to mutation, quantitative change to qualitative change. In the gradual change and quantitative change stage, through correct and timely intervention, the overall state of mind and body can be improved, thus avoiding the occurrence of diseases. This is the most effective period of "treating the disease first" ("treating its unborn child, treating its decline, treating its decline"). Therefore, the theme of "disease prevention" is: (individualization) (dynamic) identification and (dynamic) adjustment of people's physical and mental state.
KY3H model gives full play to the social management, financial intermediary, economic compensation and market organization functions of health insurance through financial contracts, and transforms scattered individual health needs into socialized and intensive health management. With the financial contract as the link, people with different health needs will be connected with the existing medical and health institutions, and the transformation from disease-centered to people-centered will be gradually realized; At the same time, with the goal of "preventing diseases", we will gradually change the functions and concepts of relevant medical and health institutions, form a real hierarchical structure system of "preventing diseases", and gradually realize the transformation from the center of disease diagnosis and treatment to the center of maintaining and promoting health.
The health management of KY3H model is a health service platform centered on people (not sick/already sick), which is the concrete embodiment of "preventing disease". Its characteristics are main; Secondly, the ideas, ideas and service modes created by KY3H model are of universal significance to the construction of community medical system.