Abstract: Stroke, as a high-incidence disease, is characterized by its high frequency of occurrence, severe disabling consequences, high risk of death, and heavy economic burden. It has become the “number one killer” threatening the health of residents in China. There is an urgent need to implement prevention and treatment management under the integration of medical care and prevention to address the challenges of the disease, alleviate the burden on patients and society, and improve the health status of the entire population. This paper reviews the strategies and system construction of stroke prevention and treatment in China in recent years. Based on the concept and policy development of the integration of medical care and prevention, it identifies the current issues stroke prevention and treatment such as insufficient coordination, misalignment in financing incentives, and inadequate information sharing. Furthermore, it proposes suggestions for reconstructing organizational management relationships, optimizing financing mechanisms, innovating incentive mechanisms, and strengthening information sharing, aiming to provide references for relevant work.

Key words: Integration of medical care and prevention; Stroke; Prevention and treatment system; Chronic disease; Management model

摘要： 卒中作为一种高发性疾病，其显著特点包括较高的发病率、严重的致残后果、较高的死亡风险及沉重的经济压力。卒中已成为危害我国居民健康的“第一杀手”，亟需实施医防融合下的防治管理工作，以应对疾病挑战，减轻患者和社会负担，提高全民健康水平。本文梳理了我国近年来卒中防治策略及体系建设情况，立足医防融合理念和政策发展，厘清了当下卒中防治工作中协调联动不足、筹资激励错位、信息共享不充分等问题，提出了重构组织管理关系、优化筹资机制、创新激励机制、强化信息共享等建议，以期为相关工作提供参考。

关键词: 医防融合; 卒中; 防治体系; 慢性病; 管理模式