慢病已成为危害健康的主要公共卫生问题。信息化技术在医疗应用领域的发展为慢病管理带来新契机,同时国家释放政策,各地积极探索,推动慢病信息化发展。各地广泛应用云计算、大数据和可视化技术、物联网和移动互联网、人工智能等各类信息化手段,通过助力疾病便捷诊疗、助力疾病监测预警、助力高效药事服务、助力智慧家医服务、助力患者自我管理、助力监管考核评价、助力信息互通共享、助力健康服务全流程等八大方式加强慢病管理。信息化提升了针对慢病的基层治理能力、基层服务能力、管理服务便捷性,提升了慢病患者的依从性和满意度,降低了慢病患者的经济负担。但仍存在慢病相关信息互联互通不足、“三医”缺乏联动、数据挖掘应用不足、筹资保障机制不健全等问题。因此应加快慢病数据互通共享、强化“三医联动”、加快慢病数据开发使用、依托信息化建设慢病特色专科、改善慢病管理信息化投入机制,进一步为慢病管理提供有力支撑。
<<Chronic diseases have become a major public health problem that endangers health. The development of information technology in the field of medical applications has brought new opportunities for the management of chronic diseases,and at the same time,the state has released policies and various localities actively explored to promote the development of chronic disease informatization. Cloud computing,big data and visualization technology,Internet of Things and mobile Internet,artificial intelligence and other information means are widely used in various places to strengthen chronic disease management by helping convenient diagnosis and treatment of diseases,disease monitoring and early warning,efficient pharmaceutical services,smart home medical services,patients self-management,regulatory assessment and evaluation,information exchange and sharing,and the whole process of health services. Informatization has improved the grass-roots governance capabilities of chronic diseases,the grass-roots service capabilities of chronic diseases,the convenience of chronic disease management services,the compliance and satisfaction of chronic disease patients,and reduced the economic burden of chronic disease patients. However,there are still problems such as insufficient interconnection and interoperability of information related to chronic diseases,lack of simultaneous reform among medical services,medical insurance and drug supply,insufficient application of data mining,and imperfect financing guarantee mechanism. Therefore,we should accelerate the mutual sharing of chronic disease data,strengthen the wordination between medical service,medical insurance and drug supply,accelerate the development and use of chronic disease data,rely on informatization to build chronic disease characteristic specialties,and improve the information input mechanism of chronic disease management,so as to further provide strong support for chronic disease management.
<<Keywords: | InformatizationArtificial IntelligenceChronic Disease ManagementContracted Services of General Practitioners |