Karyakin N N
Associate Professor, Rector; Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia.
Sovrem Tekhnologii Med. 2025;17(2):5-10. doi: 10.17691/stm2025.17.2.01. Epub 2025 Apr 30.
Nowadays, the healthcare systems of several countries have reached an efficiency threshold, therefore, even increased fundin will not significantly impact life expectancy, particularly in terms of healthy life expectancy. This situation underscores the necessity of complementing national healthcare systems, which focus on early diagnosis and treatment of diseases, with a multi-level primary prevention system that extends beyond the traditional boundaries of healthcare. In this regard, the inclusive model has been proposed, focused on health preservation, in contrast to the extractive model that emphasizes the exploitation of biological organism reserves. This inclusive model is represented as an "onion bulb" structure, where each layer consists of a set of interconnected measures within a multi-level policy aimed at strengthening and maintaining the population health.
如今，一些国家的医疗保健系统已达到效率极限，因此，即使增加资金投入也不会显著影响预期寿命，尤其是在健康预期寿命方面。这种情况凸显了用一个超越传统医疗保健界限的多层次初级预防系统来补充专注于疾病早期诊断和治疗的国家医疗保健系统的必要性。在这方面，已提出了以健康维护为重点的包容性模式，以区别于强调对生物机体储备进行开发的榨取性模式。这种包容性模式呈现为一种“洋葱头”结构，其中每一层都由旨在加强和维持民众健康的多层次政策中的一组相互关联的措施组成。
