“互联网+”社区赋能的现状及前景展望

The status quo and prospect of"Internet Plus"community empowerment

为达到世界卫生组织提出的“人人享有卫生保健”和我国政府提出的“健康中国2030”战略目标,如何最大限度地发挥全科医疗在基层医疗保健中的主导作用成为亟待解决的关键问题。笔者对“互联网+”和“社区赋能”的概念、发展历史、发展现状和未来发展前景进行了深入的研究,发现“社区赋能”的理论体系强调通过社区成员的组织协作来提升其在基层医疗保健事业方面的控制力,优化医疗资源分配,改善社区医疗组织构架,从而全面提高基层医疗服务能力。“互联网+”的出现更是将“社区赋能”的理论付诸实现并赋予更为强大的功能。“互联网+”目前已在基层医疗服务、公共卫生、家庭签约、药品保障、医疗结算、医学教育和医疗管理等方面得到了广泛的应用,将“互联网+”与“社区赋能”相结合,可以最大限度地优化医疗资源配置,提高慢病管理的质量和效率,丰富基层卫生人才培养的手段,提升突发公共卫生事件应对能力。虽然“互联网+”与“社区赋能”的实际应用还存在部分群众认知和接受程度不高、信息和隐私的保密、法律和政策的缺失等诸多问题,但不可否认的是,“互联网+”与“社区赋能”的结合,是未来全科医学在基层卫生保健事业中发挥核心主导作用的有力武器。如何将“社区赋能”与“互联网+”有机融合,最大限度利用有限的基层医疗资源发挥最大的作用值得持续探索和总结。

For achieving the strategic objectives of"Healthcare for all"and"Healthy China 2030"proposed by the World Health Organization and the Chinese government,how to maximize the leading role of general practice in primary medical care has become a key problem to be solved.In our researches on the concept,development history,status,and future prospects of"Internet Plus"and"community empowerment",we found that the theoretical system of"community empowerment"emphasized enhancing the control of community members in primary medical care,optimizing the allocation of medical resources,optimizing the structure of community medical care organization,and comprehensively improving primary medical care service."Internet Plus"enables the theory of"community empowerment"to be realized and endowed with more powerful functions,and it has been widely used in primary medical services,public health,family contracts,drug security,medical settlement,medical education,and medical management.The combination of"Internet Plus"and"community empowerment"can maximize the allocation of medical resources,improve the quality and efficiency of chronic diseases management,enrich the means of training basic medical personnel,and enhance the ability to respond to public health emergencies.Although the practical application of"Internet Plus"and"community empowerment"still exist some problems such as the low level of cognition and acceptance of the masses,the confidentiality of information and privacy,the lack of laws and policies,etc.,it is undeniable that the combination of Internet plus and community empowerment is a powerful weapon for general practice to play a key role in primary health care in the future.It's important to keep exploring how to maximize the use of limited primary medical resources by the combination of"Internet Plus"and"community empowerment".