互联网+新技术在慢性病社区健康管理的应用实践与思考

Implication practice of"Internet Plus"new technology in chronic diseases management in community

目的对宜昌市互联网+新技术在社区慢性病健康管理中的应用实践进行介绍和效果初评,为社区慢性病患者健康管理提供借鉴与参考。方法收集2016—2020年国家基本公共卫生服务系统、宜昌市大数据慢性病患者智能分拣系统、宜昌市城区基层基本公共卫生服务等信息系统数据,对城区高血压患者发现及分拣建档、规范管理率及血压控制情况进行分析,初步评估互联网+新技术在慢性病社区健康管理中的应用效果。结果2016—2020年宜昌市城区通过大数据智能发现并建立高血压患者居民健康档案15934人,占比93.54%(15934/17035)。各区高血压患者规范管理率逐年增高,2020年较2016年提高8.71%,差异有统计学意义(χ^(2)=2116.94,P<0.001)。高血压患者血压控制率逐年增高,2020年较2016年提高11.64%,差异有统计学意义(χ^(2)=2970.62,P<0.001)。结论各级医疗机构数据互通共享,加强了社区卫生服务机构慢性病防控一体化健康管理。互联网+新技术运用互联网、大数据、云计算和智能终端技术手段,可有效提升慢性病早发现率,早规范健康管理率、早治疗率。可充分发挥医疗卫生资源利用,为慢性病社区健康管理提供了新方向。

Objective To introduce and evaluate the practice of"Internet Plus"new technology for health management of chronic diseases in community in Yichang,and to provide reference for chronic disease patients′health management in community.Methods Data of hypertensive patients were collected from the national basic public health service system,the big data intelligent sorting system for chronic disease patients in Yichang City,and the basic public health service system in urban areas in Yichang from 2016 to 2020.Data on the discovery,sorting and filing,standardized management rate and blood pressure control of urban hypertension patients were analyzed.The application effect of"Internet Plus"new technology in chronic disease community health management was evaluated.Results From 2016 to 2020,15934 patients with hypertension were found and their health records were established through big and intelligent data in Yichang City,accounting for 93.54%(15934/17035)of the total.The rate of standardized management in each district increased year by year,with an increase of 8.71%in 2020 compared with 2016,and the difference was statistically significant(χ^(2)=2116.94,P<0.001).The blood pressure control rate of hypertensive patients increased year by year,with the control rate being 11.64%higher in 2020 than that in 2016,and the difference was statistically significant(χ^(2)=2970.62,P<0.001).Conclusion Data exchange and sharing among medical institutions at all levels can strengthen the health management of chronic diseases in the community.The"Internet Plus"new technology,integrating the Internet,big data,cloud computing and intelligent terminal technology,can effectively improve the detection,management and treatment rate of chronic diseases,and provide a new direction for the health management of chronic diseases.