浅谈我国慢性肾脏病“一体化”管理模式

A brief talk about integrated management strategy of chronic kidney disease in China

慢性肾脏病(chronic kidney disease,CKD)因不断攀升的发病率及患病率已成为社会的重大公共卫生问题之一。为更好减轻慢性疾病的沉重负担和优化疾病管理模式,除了积极有效的治疗方案,更应结合不断创新和优化的慢性疾病随访管理模式,全程追踪患者疾病动态变化,给予及时的指导管理。结合当今医疗大数据资源及互联网技术平台不断壮大的背景支撑,该文将从CKD全程智慧诊疗、医患双方立场出发,浅谈“一体化”的CKD管理模式现状及未来展望。

Chronic kidney disease (CKD) has been highlighted as one of the most important public health problems due to sharply climbing incidence and prevalence. To efficiently attenuate the disease burden and improve the disease management, not only active and effective treatment should be administrated, but also comprehensive follow-up nursing management with innovative and evolving spirits should be implemented. Thus dynamic changes of diseases could be acquired in time and patients are under appropriate medical instruction as soon as possible. This editorial is based on quickly developing medical big data resources and advanced internet techniques, from both aspects of patients and health care providers, briefly talking about integrated management strategy of CKD and its future development in China.