US healthcare has been ranked as both the costliest and the poorest quality1 among high-income countries. Our traditional fee-for-service model clearly incentivises treatment of sickness and disease ahead of disease prevention. One of us (IA) works in Alabama, a prime example of a US state with poor health outcomes. Alabama is ranked 48th out of 50 states for overall health, 45th in the proportion of people who meet physical activity guidelines, 49th in cardiovascular health and 44th in mental health, and is among the five worst states for obesity and in the top three for increasing prevalence of diabetes.2 To address the challenge of poor health outcomes, the US healthcare system has begun moving towards a value-based reimbursement system with the passage of the Affordable Care Act, which aims to lower costs and improve quality. Since 80% of diseases (eg, hypertension, heart disease, type 2 diabetes, obesity, multiple cancers and osteoporosis) in the USA are related to poor lifestyles,3 the promotion of physical activity and healthy eating are low-cost measures that could significantly impact quality outcomes. Given …

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美国的运动和运动医学教育：行动呼吁

美国的医疗保健在高收入国家中被列为成本最高和质量最差的 1。我们传统的按服务收费模式明显鼓励在疾病预防之前治疗疾病。我们中的一个 (IA) 在阿拉巴马州工作，这是美国健康状况不佳的州的一个典型例子。阿拉巴马州的整体健康状况在 50 个州中排名第 48 位，符合体育活动指南的人口比例排名第 45 位，心血管健康排名第 49 位，心理健康排名第 44 位，并且是肥胖最严重的五个州之一，并且在增加肥胖率方面排名前三。 2 为应对不良健康结果的挑战，随着旨在降低成本和提高质量的“平价医疗法案”的通过，美国医疗保健系统已开始转向基于价值的报销系统。由于美国 80% 的疾病（例如高血压、心脏病、2 型糖尿病、肥胖症、多发性癌症和骨质疏松症）与不良生活方式有关，3 促进体育活动和健康饮食是低成本措施，可以显着提高影响质量结果。鉴于……