Strengthening foundations and enhancing capabilities: current status and future directions of COPD diagnosis, treatment, and management in primary medical institutions
10.3760/cma.j.cn114798-20250522-00451
- VernacularTitle:强基赋能：慢性阻塞性肺疾病基层诊治及管理的现状和未来
- Author:
Hongtao NIU
1
;
Chunyu ZHANG
;
Xiang LI
;
Jun ZHOU
;
Cunbo JIA
;
Ting YANG
Author Information
1. 国家呼吸医学中心 呼吸和共病全国重点实验室 国家呼吸系统疾病临床医学研究中心 国家慢性呼吸疾病防治办公室 中国医学科学院呼吸病学研究院 中日友好医院呼吸中心，北京100029
- Publication Type:Journal Article
- Keywords:
Pulmonary disease,chronic obstructive;
Disease management;
Primary care
- From:
Chinese Journal of General Practitioners
2025;24(8):903-909
- CountryChina
- Language:Chinese
-
Abstract:
Chronic obstructive pulmonary disease (COPD) poses a significant public health challenge in China due to its high prevalence and substantial disease burden. Primary healthcare institutions (PHIs) serve as the cornerstone for COPD prevention and management. However, they currently face critical challenges, including inadequate diagnostic capacity, suboptimal treatment standardization, and limited patient awareness. In recent years, national efforts have initiated the development of a primary-level COPD prevention and management network. Key strategies include incorporating COPD into the Fundamental Public Health Service Program (FPHSP), strengthening lung function screening, promoting tiered diagnosis and treatment systems, establishing central-local coordination mechanisms, and implementing National Major Public Health Service Programs. Future directions necessitate focused efforts on: constructing integrated prevention and treatment models; optimizing the two-way referral system; enhancing screening for high-risk populations; leveraging digital health empowerment; and establishing a multi-dimensional quality evaluation system. These concerted actions are essential to build a comprehensive, high-quality COPD healthcare management system within primary care settings, ultimately contributing to the goals of the Healthy China Initiative (2019-2030).
