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刘梦莹, 高兵, 朱敬丽, 卜军, 沈冲, 陆慧. “互联网 + 医联体”心脑血管疾病“协防共管”模式运行的ROCCIPI技术分析[J]. 中国公共卫生, 2023, 39(12): 1635-1640. DOI: 10.11847/zgggws1141344
引用本文: 刘梦莹, 高兵, 朱敬丽, 卜军, 沈冲, 陆慧. “互联网 + 医联体”心脑血管疾病“协防共管”模式运行的ROCCIPI技术分析[J]. 中国公共卫生, 2023, 39(12): 1635-1640. DOI: 10.11847/zgggws1141344
LIU Mengying, GAO Bing, ZHU Jingli, PU Jun, SHEN Chong, LU Hui. Internet plus medical alliance-based co-prevention and co-management on cardio-cerebrovascular diseases at demonstration sites in China: an analysis according to ROCCIPI framework[J]. Chinese Journal of Public Health, 2023, 39(12): 1635-1640. DOI: 10.11847/zgggws1141344
Citation: LIU Mengying, GAO Bing, ZHU Jingli, PU Jun, SHEN Chong, LU Hui. Internet plus medical alliance-based co-prevention and co-management on cardio-cerebrovascular diseases at demonstration sites in China: an analysis according to ROCCIPI framework[J]. Chinese Journal of Public Health, 2023, 39(12): 1635-1640. DOI: 10.11847/zgggws1141344

“互联网 + 医联体”心脑血管疾病“协防共管”模式运行的ROCCIPI技术分析

Internet plus medical alliance-based co-prevention and co-management on cardio-cerebrovascular diseases at demonstration sites in China: an analysis according to ROCCIPI framework

  • 摘要: 为更好地运用互联网技术和大数据资源,促进互联网与医疗卫生服务的融合发展,实现心脑血管疾病的联合防治,自2019年起,国家重点研发计划《心脑血管疾病“协防共管”创新健康管理模式的开发与效果评价(2018YFC1312800)》项目已在上海、广州、新疆等地试点“互联网 + 医联体”心脑血管疾病“协防共管”模式。ROCCIPI 技术是指借助规则(rule)、机会(opportunity)、能力(capacity)、交流(communication)、利益(interest)、过程(process)和意识(ideology)这 7 个要素之间相互联系的思维模式,识别和剖析各种问题的政策根源,为解决卫生政策问题提供循证策略的方式。本文基于ROCCIPI技术分析框架,对依托于《心脑血管疾病“协防共管”创新健康管理模式的开发与效果评价(2018YFC1312800)》项目开展的“互联网 + 医联体”心脑血管疾病“协防共管”模式试点实践的进展和问题进行了识别和剖析,并提出为推广“互联网 + 医联体”心脑血管疾病“协防共管”模式,需要开发医联体资源整合与“互联网 + ”共建共享机制,明晰诊疗指南、技术规范、管理与临床路径,推动高素质医防融合诊疗团队建设与创新合作激励措施,完善医疗保险制度减轻患者疾病负担,以及提升居民(患者)健康素养与服务利用能力等政策建议。

     

    Abstract: In 2019 as a national key research program, the Development and Effectiveness Evaluation of an Innovative Health Management Model – Internet plus Medical Alliance-based Co-prevention and Co-management on Cardio-cerebrovascular Diseases was initiated in several regions including Shanghai and Guangzhou municipality and Xinjiang Uygur Autonomous Region. The ROCCIPI framework refers to a way of identifying and analyzing fundamental causes of problems in health policy through interrelated thinking patterns of seven elements: rule, opportunity, capacity, communication, interest, process and ideology. The framework could provide an evidence-based strategic approach to solve health policy problems. In this article, we try to identify and analyze the progress and problems in the implementation of the innovative health management at 21 comprehensive demonstration regions in China based on the ROCCIPI framework. Specific suggestions are also presented for promoting the comprehensive disease prevention and management project.

     

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