Division of Sports Medicine, Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, USA,
Sports Med. 2013 Nov;43(11):1075-88. doi: 10.1007/s40279-013-0104-3.
Morbidity and mortality from preventable, non-communicable chronic disease (NCD) threatens the health of our populations and our economies. The accumulation of vast amounts of scientific knowledge has done little to change this. New and innovative thinking is essential to foster new creative approaches that leverage and integrate evidence through the support of big data, technology, and design thinking. The purpose of this paper is to summarize the results of a consensus meeting on NCD prevention sponsored by the International Olympic Committee (IOC) in April, 2013. Within the context of advocacy for multifaceted systems change, the IOC's focus is to create solutions that gain traction within health care systems. The group of participants attending the meeting achieved consensus on a strategy for the prevention and management of chronic disease that includes the following: 1. Focus on behavioural change as the core component of all clinical programs for the prevention and management of chronic disease. 2. Establish actual centres to design, implement, study, and improve preventive programs for chronic disease. 3. Use human-centered design in the creation of prevention programs with an inclination to action, rapid prototyping and multiple iterations. 4. Extend the knowledge and skills of Sports and Exercise Medicine (SEM) professionals to build new programs for the prevention and treatment of chronic disease focused on physical activity, diet and lifestyle. 5. Mobilize resources and leverage networks to scale and distribute programs of prevention. True innovation lies in the ability to align thinking around these core strategies to ensure successful implementation of NCD prevention and management programs within health care. The IOC and SEM community are in an ideal position to lead this disruptive change. The outcome of the consensus meeting was the creation of the IOC Non-Communicable Diseases ad-hoc Working Group charged with the responsibility of moving this agenda forward.
可预防的非传染性慢性疾病（NCD）导致的发病率和死亡率威胁着我们的人口健康和经济。尽管科学知识大量积累，但情况并未得到改善。为了培养新的创造性思维，需要新的和创新的思维来利用和整合通过大数据、技术和设计思维支持的证据，从而创造新的有创意的方法。本文旨在总结国际奥林匹克委员会（IOC）于 2013 年 4 月举办的一次 NCD 预防问题共识会议的结果。在倡导多方面系统变革的背景下，IOC 的重点是创造在医疗保健系统中获得牵引力的解决方案。参加会议的小组成员就预防和管理慢性疾病的策略达成共识，其中包括：1. 专注于行为改变，作为预防和管理慢性疾病的所有临床项目的核心组成部分。2. 建立实际的中心，设计、实施、研究和改进预防慢性疾病的项目。3. 在创建预防计划时使用以人为中心的设计，倾向于行动、快速原型制作和多次迭代。4. 将运动医学（SEM）专业人员的知识和技能扩展到以体育活动、饮食和生活方式为重点的预防和治疗慢性疾病的新计划中。5. 调动资源并利用网络扩大预防计划的规模和分布。真正的创新在于围绕这些核心策略进行思考的能力，以确保在医疗保健中成功实施 NCD 的预防和管理计划。IOC 和 SEM 社区处于领导这一颠覆性变革的理想地位。共识会议的结果是创建了 IOC 非传染性疾病特别工作组，负责推进该议程。
