基于主动健康指数的数字化慢性病防控的思考与探索

doi:10.3969/j.issn.1674-8115.2023.02.001

摘要/Abstract

摘要：

慢性非传染性疾病（以下简称“慢性病”）导致的疾病负担仍在不断增加，深刻地影响着公众健康和社会经济发展。传统的慢性病健康管理，缺乏诊断标准和健康干预的合理介入时机，且需方主动性缺失的瓶颈日益凸显。将健康主动性概念引入并构建主动健康指数（proactive health index，PHI），有望成为优化慢性病健康管理的有效手段。随着全球进入数字化变革的关键时期，我国健康战略已明确维护和保障人民健康应发挥科技创新和信息化的引领支撑作用，数字健康为慢性病健康管理的发展带来战略机遇。该文在数字化慢性病防控的发展背景下，分析我国慢性病健康管理当前存在的主要瓶颈，明确构建慢性病健康管理诊断标准的重要性，提出PHI的概念及构建以解决慢性病健康管理的关键问题，并从政府端、家庭医生端和公众端对PHI的应用场景进行了部署与展望，以期为提升居民健康管理主动性，优化慢性病健康管理的效果提供思路。

关键词: 主动健康指数, 数字健康, 健康管理, 慢性病

Abstract:

The disease burden caused by chronic non-communicable diseases continues to grow, with profound implications for public health and socio-economic development. The traditional health management of chronic diseases lacks diagnostic criteria and reasonable intervention time, and the bottleneck of the lack of residents' initiative is increasingly prominent. The construction of proactive health index (PHI) is expected to be an effective means to improve the health management of chronic diseases. As the world enters a critical period of digital transformation, China's health strategy has made clear that technological innovation and information technology should play a leading role in maintaining people's health, and digital health brings strategic opportunities for the development of chronic disease health management. In the context of the development of digital chronic disease prevention and control, this study analyzes the main bottlenecks existing in China's chronic disease health management, clarifies the importance of establishing diagnostic criteria for chronic disease health management, proposes the concept of PHI, and introduces the construction of PHI to solve the key problems of chronic disease health management. The application scenarios of PHI are deployed and prospected from the government side, the family physician side and the public side, in order to provide ideas for improving residents' health management initiative and enhancing the effectiveness of chronic disease health management.

Key words: proactive health index, digital health, health management, chronic disease

中图分类号:

R19-0

高翔, 李晓光, 周良, 王慧. 基于主动健康指数的数字化慢性病防控的思考与探索[J]. 上海交通大学学报（医学版）, 2023, 43(2): 137-142.

GAO Xiang, LI Xiaoguang, ZHOU Liang, WANG Hui. Reflection and exploration of digital chronic disease management based on the proactive health index[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2023, 43(2): 137-142.

图/表 1

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