本文从社会医学史、健康人口学和社会福利制度史角度,主要运用文献回顾方法,以西方发达国家病残预防历史经验为基础,首次全面、系统总结了世界病残预防模式演变规律。在经济全球化与一体化、全球卫生与全球公共卫生发展,及世界各国相互依赖程度提高的环境下,人类病残预防模式结构转型的普遍规律与发展趋势对中国发展模式的战略转型、人口结构、计划生育政策与医药卫生体制改革、妇幼保健与食品安全,尤其是对病残预防、残疾人福利政策与早期干预服务模式的影响深远。中国病残预防实践面临的结构性困境迫切呼唤生物医学模式转变和“积极性”残障福利制度。如何遵循人类社会病残预防模式发展变化普遍规律与历史经验,充分考虑中国的现实状况,加快中国残疾人工作的战略转型,建立中国“积极性”残障福利政策框架,已成为国家社会政策战略重点。 Based on the history of social medical history, healthy demography and social welfare system, this dissertation, for the first time, comprehensively and systematically summarizes the evolving laws of the world's disability prevention model based on the literature review method and based on the historical experience of disability prevention in western developed countries. Under the circumstances of economic globalization and integration, global health and global public health development, and the increasing interdependence of countries in the world, the general laws and development trends in the structural transformation of the human disease prevention model have shown that the strategic transformation of China's development model and the demographic structure , Family planning policy and health system reform, maternal and child health and food safety, especially for the prevention and treatment of disability, welfare policies for the disabled and early intervention services. Structural difficulties in China's practice of preventing and treating disability urgently call for the transformation of biomedical models and the “positive” disability benefits system. How to follow the universal law and historical experience in the development and change of human society's disability prevention model, give full consideration to China's reality, speed up the strategic transformation of the work of handicapped people in China, and establish a China's “positive” disability welfare policy framework has become a national social policy strategy Focus.