《中国康复理论与实践》

《中国康复理论与实践》 ›› 2026, Vol. 32 ›› Issue (10): 1227-1232.doi: 10.3969/j.issn.1006-9771.2026.10.011

• 康复政策与发展 • 上一篇    下一篇

世界康复联盟2025-2030战略规划解读及对中国的启示

许琦1, 燕铁斌1,2, 阮诗玮3()   

  1. 1 厦门市第五医院， 福建厦门市 361101
    2 中山大学孙逸仙纪念医院康复医学科， 广东广州市 510120
    3 福建中医药大学附属人民医院， 福建福州市 350004
  • 收稿日期:2026-09-01 修回日期:2026-10-08 接受日期:2026-10-14 出版日期:2026-10-25 发布日期:2026-10-23
  • 通讯作者: 阮诗玮(1960-)，男，汉族，福建周宁县人，教授、主任医师，博士研究生导师，主要研究方向：社会医学与卫生事业管理、中医肾病临床。E-mail： 1476068677@qq.com
  • 作者简介:许琦(1974-)，女，汉族，福建松溪县人，博士，研究员、医师，主要研究方向：康复医学、中医学。
  • 基金资助:
    福建省省级临床重点专科建设项目(闽卫医政函〔2022〕884号);福建省"十四五"非中医医疗机构中医药科室建设项目(闽卫中医函〔2023〕344号)

Interpretation of World Rehabilitation Alliance Strategic Plan 2025-2030 and its implications for China

Xu Qi1, Yan Tiebin1,2, Ruan Shiwei3()   

  1. 1 The Fifth Hospital of Xiamen, Xiamen, Fujian 361101, China
    2 Department of Rehabilitation Medicine, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong 510120, China
    3 The Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian 350004, China
  • Received:2026-09-01 Revised:2026-10-08 Accepted:2026-10-14 Published:2026-10-25 Online:2026-10-23
  • Supported by:
    Fujian Province Provincial-level Clinical Key Specialty Construction Project(〔2022〕884);Fujian Province "14th Five-Year Plan" Project for Establishment of Traditional Chinese Medicine Departments in Non-TCM Medical Institutions(〔2023〕344)

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摘要：

目的 解读世界康复联盟(WRA)《2025-2030战略规划》，基于卫生系统关键政策维度构建比较框架，探讨对中国的启示。

方法 采用政策分析与比较研究方法，从治理与制度、功能测量与信息系统、筹资与支付、人力资源、服务提供与公平性5个维度，对比WRA战略与中国康复政策，区分政策目标与实施效果。

结果 WRA战略与中国康复政策核心理念高度契合。中国在康复服务网络和人力资源规划方面已有明确部署，但在功能测量制度化、康复投资经济学证据、基层康复有效覆盖与公平性等方面有待加强。

结论 “十五五”期间，中国可借鉴WRA战略框架，探索基于《国际功能、残疾和健康分类》的功能评估纳入国家健康监测与医保支付体系的可行路径，积累康复投资经济学证据，完善三级康复协作网络并关注基层公平性。

关键词: 世界康复联盟, 功能, 健康中国2030, 国民健康“十五五”规划, 医疗康复护理扩容提升工程

Abstract:

Objective To interpret the World Rehabilitation Alliance (WRA) Strategic Plan 2025-2030, construct a comparative framework based on key policy dimensions of health systems, and explore its implications for China.

Methods A policy analysis and comparative research approach was adopted. The WRA strategy and China's rehabilitation policies were compared across five dimensions: governance and institutions, functional measurement and information systems, financing and payment, human resources, and service delivery and equity; while distinguishing policy objectives from implementation outcomes.

Results The core tenets of the WRA strategy were highly aligned with those of China's rehabilitation policies. China already made clear arrangements for its rehabilitation service network and human resource planning. Nevertheless, further strengthening was needed in the institutionalization of functional measurement, economic evidence on rehabilitation investment, and effective coverage of, and equity in, primary/community-based rehabilitation.

Conclusion During the 15th Five-Year Plan period, China could draw on the WRA strategic framework to explore feasible pathways for integrating functional assessment based on the International Classification of Functioning, Disability and Health (ICF) into national health monitoring and medical insurance payment systems, accumulate economic evidence on rehabilitation investment, improve the three-tier rehabilitation collaboration network, and address equity at the community level.

Key words: World Rehabilitation Alliance, functioning, Healthy China 2030, 15th Five-Year Plan for National Health, medical rehabilitation and nursing capacity expansion project

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