编者按|本文旨在揭示传统以治疗为主的诊疗理念会随着人口老龄化趋势的加剧而逐渐改变，未来的医疗理念可能会更侧重疾病预防及健康生活方式的建立。
“医疗保健针对的是全身，而非仅仅针对身体的某个部位。只有全身健康状态达到平衡时，才能实现真正的健康。”
“Treat the entire individual, not the individual parts. True Wellness exists when all things are in balance.”
充分了解和遵从互补性需求理念的前提下，有望通过医疗保健服务打造健康社区。越来越多的医疗保健服务提供商正致力于寻求能够满足患者健康需求的最佳解决方案。他们正在通过生活指导（Life Coaching）这种更为积极主动的方式来满足患者的健康需求，而不是被动地求助于权威疗法。
By understanding and honoring the idea of complimentary needs, healthcare has the opportunity to create the Wellness Community. More and more healthcare providers are trying to find the best solution to a patient’s health needs. They are utilising a more proactive approach through partnering – Life Coaching – rather than through a reactive authoritative approach.
如今获取健康知识的方式多种多样，这意味着人们可以更加充分地了解个人健康状况，进而随着时间的推移对健康状况进行跟踪，并为未来将要采取的行动提供引导信息，为个体健康保驾护航。过度依赖数字通信可能会造成一种错觉，即把个人看成是另一个“信息点”。对此，具有讽刺意味的是，在数字环境中，生活指导可以提供更加个性化的方案，因为借助数字技术可以更全面地了解患者的信息，从而确保咨询服务更具针对性、更加个性化。
Knowledge being ubiquitous, means more can be known about the individual and thus can be tracked over time informing the future course of action leading to Wellness. Reliance upon digital forms of communication can give the false sense that the individual is just another ‘bit’ of information. Ironically, Life Coaching in a digital environment can provide a more personal individualized approach since more can be known about a patient rendering any consultation more relevant and personal.
因为在接诊前已经事先以数字化方式将医生介绍给患者，所以医护人员能够更好地了解患者信息，并能直接称呼患者的姓名。这种保健方式适用于各年龄段人群—包括新生儿、儿童、青少年、已为人父母的成年人或老人等。
医疗团队将在此过程中提供可促进健康生活的决策建议，包括饮食决策（有机食品市场）、健身决策（教练）等。医疗保健服务提供商将与社区携手合作，其中初级保健服务提供商将对患者进行宣传教育并帮助他们选择更好的生活方式，推动普及更为积极主动的保健方法。
Nurses and physicians can be better informed and thus directly address patients by name, as they will have been introduced to the patient digitally beforehand. This approach to Wellness applies at any point – being born, life as a child, a young adult, or an adult with children of their own, or in older age.
The lifestyle decisions taken during this journey to Wellness will be counselled by the healthcare team which will include dietary (organic food market), physical (trainer), etc. Healthcare will connect with the community and the primary care providers will promote a proactive approach by educating the patients and helping them make better lifestyle choices.
West Chester Medical Center
这些方案将减少不必要的医疗干预措施，有助于减轻全球医疗保健系统的负担。通过接受生活指导理念，在缓解上述负担的同时，帮助医疗机构重新将重点放在履行自身使命和职责上。急症护理机构可以专注于评估、稳定和治疗疾病，然后再将患者送回更适合疗养的地方：社区。
同样，慢性病护理机构可以通过治愈和康复来更好地实现重新平衡，并且可与其所服务的社区进行密切合作。其中生活指导将发挥关键推动作用，它能够重新定位初级保健在整个系统中的位置，确保其可以发挥最大作用。
These choices will mitigate the avoidable interventions that place an excessive burden upon the healthcare systems globally. By embracing Life Coaching this burden can be eased and in turn healthcare facilities can be re-focused to address the specific function they are designed to fulfill. Acute Care Facilities can concentrate on assessment, stabilization, and treatment, before returning patients to places better suited to healing: The Community.
Likewise, Chronic Care Facilities can better fulfill the re-balancing through healing and rehabilitation and can be woven intimately into the fabric of the community it serves. The key enabler will be Life Coaching, which re-positions Primary Care to where it functions best: within the relationships.
// 打破医疗保健的壁垒
BREAKING DOWN BARRIERS TO HEALTHCARE
要从生理和心理上打破当前存在的医疗保健壁垒，关键在于确保其对社区需求做出回应。无论是对于年度检查、门诊手术、康复治疗，还是针对生活方式和日常活动目标的友好评估，创造便捷开放的护理通道都是必不可少的。
The key to breaking-down the physical and psychological barriers to healthcare today, is to ensure it responds to the needs of its community. It is essential to create easy and open access to care, be that an annual checkup, an outpatient procedure, rehabilitation services, or a friendly assessment of lifestyle and daily activity goals.
当然，急性病发作的情况肯定还会出现，并且需要尽快在具有针对性的医疗设施中加以解决。但是，并非所有的医疗机构都需要具备急症护理中心的功能，也不需要都成为急症护理中心的附属机构。事实上，可以在布局上对这些设施进行优化，基于所处的社会、文化和实体环境提升设施的各项功能。例如，将分娩中心、非急症治疗中心、心理健康咨询机构和其他非急性或慢性护理设施与社区紧密结合，做到科学合理的同时，也为患者提供便利。
Acute episodes will of course continue to occur and need to be immediately addressed in appropriately designed facilities. However, not all healthcare facilities need to be acute care centres; nor do all need to be attached to acute care centres. In fact, the placement of these can optimise how each one functions within the social, cultural and physical context in which they are placed. For example, it would be both reasonable and convenient to have birthing centres, elective treatment, and mental health counseling and other such non-acute or chronic care facilities seamlessly integrated into the community.
The Center for Advanced Heart Care at the University of Kansas Hospital
如果医疗保健服务实用便捷，贴近人们的日常活动，那么社区的整体健康状况便会得到改善。将医疗保健服务网点与购物、餐饮、娱乐、教育、社交、甚至交通站点等相结合，可在提高医疗保健服务开放性和可及性的同时，为社区创造健康价值。
真正的社区是指人们聚集、互动和日常生活的场所。这些场所散发着生命的活力，同时有着不同的特点。有些社区生机勃勃，活力四射，有些社区则宁静隽永，它们都是组成和谐环境的一部分。医疗保健不应该再孤立存在，而应逐渐融入城市社区中，充分地为提升社区人群的健康福祉服务。
When healthcare is convenient and proximal to daily activities there will be an improvement in the overall health of a community. Healthcare outlets mixed with shopping, dining, entertainment, education, social gathering, and even, transit nodes, is a successful way in which open access to healthcare can be facilitated and the value of wellness brought to the core of a community.
The genesis of true community life is found in the places where people gather, interact, and lead their daily lives. These places exude life and identity. Some are vital and active, some more calming and sustaining yet all are part of a harmonious whole. Healthcare should no longer stand apart, instead it should quietly permeate the urban fabric of the community and fully commit itself to the Wellbeing of all within it.
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