Journal of Shanghai Jiao Tong University (Medical Science) ›› 2023, Vol. 43 ›› Issue (2): 137-142.doi: 10.3969/j.issn.1674-8115.2023.02.001

• Frontier review •    

Reflection and exploration of digital chronic disease management based on the proactive health index

GAO Xiang(), LI Xiaoguang, ZHOU Liang, WANG Hui()   

  1. School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China
  • Received:2022-12-27 Accepted:2023-01-19 Online:2023-02-28 Published:2023-02-28
  • Contact: WANG Hui;
  • Supported by:
    National Key R&D Program of China(2018YFC2000700);National Natural Science Foundation of China(82030099)


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

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