大数据价值链与连续医疗导向的“移动互联+分级诊疗”策略研究

Establishing the hierarchical medical system is an important way to promote the equalization of basic health services and the rational allocation of medical resources, and is an important measure to deepen the health care reform to solve the increasing difficulty and expensive cost of medical services. It is also the hot and difficult issue in medical health field. As the world is entering the new era of the "Internet +", big data and cloud computing are hitting all areas. The big data value chain has been applied in the area of health and provides good opportunities for establishing the innovative hierarchical medical system. This study aims to develop an innovative pattern of hierarchical medical system with theoretical significance and practical effect by applying the big data theory and technology, construct the theoretical and applicable model of “Mobile Internet + Hierarchical Medical System” and build a technology platform of the mobile terminal and support systems based on the big data value chain. An empirical research will be conducted to test this model and contribute to the application recommendations for “Mobile Internet + Hierarchical Medical System”. This study has important theoretical and practical significances in promoting the implementation of a hierarchical medical system, deepening health care reform and solving the increasing difficulty and expensive cost of medical services.

建立分级诊疗制度，是合理配置医疗资源、促进基本医疗卫生服务均等化的重要途径，是深化医药卫生事业改革、缓解“看病难、看病贵”的重要举措，也是热点和难点。与此同时，世界正在进入“互联网+”的崭新时代，大数据、云计算正在冲击各个领域，大数据价值链已在医药卫生领域有所应用，也为创新分级诊疗策略提供了重大机遇。本研究以探索大数据价值链与连续医疗为导向的分级诊疗创新策略为出发点与落脚点，基于大数据价值链，应用大数据理论和技术，构建“移动互联+分级诊疗”理论与应用模型，搭建移动互联终端与支持系统技术平台，建立“移动互联+分级诊疗”运行系统，最终形成既具理论意义、又有实践效果的分级诊疗创新模式，并在此基础上进行实证应用和实证检验，最终提出合理、可行、有效的“移动互联+分级诊疗”实施策略和政策建议，对于促进我国分级诊疗制度实施、深化医药卫生事业改革，缓解“看病难、看病贵”现状具有重要的理论意义与现实意义。

建立分级诊疗制度，是合理配置医疗资源、促进基本医疗卫生服务均等化的重要途径，是深化医药卫生事业改革、缓解“看病难、看病贵”的重要举措，也是热点和难点。与此同时，世界正在进入“互联网+”的崭新时代，大数据、云计算正在冲击各个领域，大数据价值链已在医药卫生领域有所应用，也为创新分级诊疗策略提供了重大机遇。本研究以探索大数据价值链与连续医疗为导向的分级诊疗创新策略为出发点与落脚点，构建了“移动互联+分级诊疗”理论模型，搭建了分级诊疗信息资源共享平台，建立了“移动互联+分级诊疗”支持系统技术平台及APP，最终形成既具理论意义、又有实践效果的分级诊疗创新模式。本研究选择糖尿病为切入点进行理论模型及支持系统的实证检验，结果显示，“移动互联+分级诊疗”模式内的糖尿病患者糖化血红蛋白达标率从基线的35.75%大幅提高至72.31%，糖化血红蛋白不良率低于1%，明显优于国内文献报道的平均水平。本研究最终提出合理、可行、有效的“移动互联+分级诊疗”实施策略和政策建议，对于促进我国分级诊疗制度实施、深化医药卫生事业改革，缓解“看病难、看病贵”现状具有重要的理论意义与现实意义。本研究项目共计发表论文49篇，其中英文期刊（SCI/EI/SCIE收录）24篇，中文期刊22篇，国际会议论文3篇；申请软件著作权4项；举办专题学术研讨会5次；邀请境外专家来华合作交流8人次，课题组成员境外合作交流或参加国际学术会议9次；培养博士后1人，博士研究生2人，硕士研究生5人。