智慧医疗背景下慢性病患者就医行为优化及展望  

Application and Prospect of Smart Health Technologies for Optimizing the Healthcare-seeking Behaviors in Chronic Disease Patients

作　　者：陈芸[1] 许伟杰 田怀谷[1] 汪文新 CHEN Yun;XU Weijie;TIAN Huaigu;WANG Wenxin(Office of the Director,Peking University Shenzhen Hospital,Shenzhen 518036,China;Shantou University Law School/Local Government Development Research Institute of Shantou University,Shantou 515063,China)

机构地区：[1]北京大学深圳医院院长办公室,广东省深圳市518036 [2]汕头大学法学院公共管理系,汕头大学地方政府发展研究所,广东省汕头市515063

出　　处：《中国全科医学》2022年第28期3484-3487,共4页Chinese General Practice

基　　金：国家自然科学基金资助项目(71673121)——基于双重契约驱动的公立医院医师职业精神塑造机制及政策选择;广东省基础与应用基础研究基金自然科学基金项目(2021A1515011599)——基于动态社会网络的患者就医知信行嬗变机制与干预策略行动研究。

摘　　要：智慧医疗正日益应用于慢性病管理实践中,成为优化慢性病患者健康管理行为的重要推手。本文结合Anderson卫生服务利用行为模型,通过总结我国慢性病患者就医行为影响因素相关研究文献发现,影响慢性病患者就医行为的因素主要包括倾向特征、能力资源、健康需求3个方面,能力资源因素是决定慢性病患者就医行为的关键因素,表现为经济能力与知识能力。基于此,提出有必要利用智慧医疗服务模式的信息化优势,通过整合健康知识宣教全媒体资源、强化弱势群体的社会支持、优化医疗服务的群体性联动,进而弥补慢性病患者群体的能力“短板”,优化其就医行为,实现医疗服务资源的有效利用。Smart health technologies have been increasingly used in chronic disease management,and become an important way foroptimizing the health management behaviors in patients with chronic diseases.Based on a review of studies about healthcare-seeking behaviors in Chinese patients with chronic diseases and the framework of the Andersen's Behavioral Model of Healthcare Utilization,we summarized that healthcare-seeking behaviors in these patients are associated with predisposing,enabling,and need factors,with enabling factors(economic status and education level)being the key determinant.Therefore,it is necessary to utilize the advantages of care delivery modes using smart health technologies to integrate media resources for health knowledge education,strengthen the social support for vulnerable groups and optimize the cooperation between multiple care delivery groups.The implementation of these strategies will contribute to the empowerment of people with chronic diseases,optimizing their healthcare-seeking behaviors,and making effective use of health service resources.

关 键 词：慢性病 就医行为 智慧医疗 卫生服务利用 

分 类 号：R36[医药卫生—病理学]