Experts say ｜ Guo Qing： 5G+ ＂three early＂ to build a new model of chronic disease health management
Report to the 20th CPC National Congress of the Party pointed out, "Insist on prevention, strengthen the health management of major chronic diseases, and improve the ability of prevention and treatment and health management at the grassroots level." For a long time, China’s medical and health service system has been centered on "treating diseases". With China’s accelerated aging, people with chronic diseases are also showing a younger trend, and the number of chronic diseases is increasing year by year. The 5G+ "Three Morning" health management system proposes to build a more scientific "health"-centered health service system based on the existing medical and health resources and the Internet ecosystem. Professor Guo Qing, Chairman of the Health Management Branch of the Chinese Medical Association and member of the Expert Steering Committee for Health Promotion and Education of the National Health and Wellness Commission, accepted an interview with CCTV reporters on the significance of the 5G+ "three early" model for the health management of chronic diseases and the challenges of its implementation.
CCTV reporter: In the field of health services, China faces two major challenges, one is the aging population, and the other is the high incidence of chronic diseases. What do you think is the core task of health management? How to "manage"?
Guo Qing:"From treating diseases as the center to focusing on people’s health", it is necessary to pay attention to disease prevention and strengthen the health management of chronic diseases. In this regard, the Health Management Branch of the Chinese Medical Association clearly pointed out that the focus of health management is to promote the health of all citizens, put the prevention of serious diseases at the forefront of the strategy, and carry out effective chronic disease health management for hundreds of millions of chronic patients.
In 2021, I took the lead in successfully applying for three important research projects, whether it was the top ten engineering and technical problems of China Association for Science and Technology, the national natural science foundation project focusing on basic research, and the scene application pilot of the Ministry of Industry and Information Technology in the field of 5G and National Health Commission, all of which focused on the field of "5G+ health management". We use the digital code "533" to organically combine these three projects, which is called "533 Health Management Project". "5" stands for "5g" & mdash; — Because we need the support of 5G, big data, wearable devices and artificial intelligence systems, rely on technology empowerment, innovate health service models, and continuously and dynamically monitor the health status of the body. The first "3" is the core connotation of health management — — Three early, that is, "early screening, early evaluation and early intervention", refers to the prevention-oriented, screening for the whole population to find out the risk factors; Multi-dimensional, multi-level and continuous evaluation of related risk factors causing diseases; Promote health education and health promotion, cultivate healthy lifestyle and behavior habits, and remove risk factors. The second "3" refers to "three complete", that is "The goal of the whole population, all-round and full life cycle. Intervening in all directions will benefit the whole population and cover the whole cycle from the gestation to the end of life for each individual. Popular and easy to remember, "533" means "My life is healthy and endless".
CCTV reporter: What is the current progress of the "533 Health Management Project"?
Guo Qing:In 2022, under the guidance of the Office of the Healthy China Promotion Committee, we included the "533 Health Management Project" into one of the specific landing projects of the Healthy China Action. Since the beginning of this year, we have extensively promoted the pilot and landing of the "533 Health Management Project" nationwide. For example, in Zhejiang, Jiangxi, Guangdong, Guangxi and other places, we have carried out pilot projects that extend from hospitals to communities and then to families, affecting the specific landing of millions of people.
Take diabetes as an example, there are 140 million diagnosed diabetic patients in China, and nearly 500 million people are in pre-diabetes, that is, abnormal blood sugar. In view of this huge group, it is necessary to carry out effective health management of diabetes. The "533 Health Management Project" emphasizes the need to monitor the changes of blood sugar in real time. When the individual has not become a diabetic or is still in the early stage, the blood sugar will be continuously, dynamically and in real time through technical means such as 5G. According to different situations, early warning is issued, and personalized diet and exercise matching scheme is formulated to realize blood sugar control. In addition, there are currently 300 million hypertensive patients in China. In view of cardiovascular and cerebrovascular diseases such as myocardial infarction and stroke, we have also established the landing mode of "533 Health Management Project", and proposed to improve the establishment of the upstream system and carry out continuous, dynamic and real-time monitoring, evaluation and intervention.
CCTV reporter: From the hospital to the community to the family, how to realize the health management of chronic diseases and improve the health level of residents?
Guo Qing:It can be said that the "treatment-centered" model in the past few decades has placed the main focus of medical resource allocation on large hospitals. It is not enough to promote the "533 Health Management Project" only by large hospitals, but also by extending from hospitals to community health service institutions that are more closely related to the people. Because their main task is to focus on prevention and carry out the prevention and treatment of common diseases. However, it is not enough to extend to community health service centers, but also to families. For individuals, almost one-third of the time is spent at home, and most activities such as daily life and diet are at home. Extending health services to families can be closely linked with everyone’s daily life and realize effective health management. Due to the limited medical staff, family health services also need to use big data, wearable devices, artificial intelligence systems and other scientific and technological means to monitor the health status of members in real time. Now scientific and technological progress provides us with the possibility of research in this field. In the future, the health management of chronic diseases will certainly develop in this direction.
CCTV reporter: At present, what are the opportunities and challenges in the implementation of the 5G+ "three early" health management application pilot?
Guo Qing:Looking at the forefront of international science and technology, the research and development progress of big data, wearable devices and artificial intelligence, and the emphasis on application scenarios in the medical and health field have also provided technical means for 5G+ "three early". Many colleagues in the industry feel that we must seize the once-in-a-lifetime historical development opportunity.
On the other hand, the challenge we face is that there is no ready-made model for reference, and it is difficult to innovate. As the name implies, "health management project" is called "project", which needs to be implemented, and there are still many unresolved technical problems in the process of promotion. In addition, our professional and technical team should focus on health from the past. According to the demand characteristics of the new service model, we should establish the awareness of active health and attach importance to service, make it clear that everyone is the first responsible person for their own health, and improve public health literacy. Specific to the action, it is necessary to increase the training of professional and technical teams, including the training of a large number of health managers and community health assistants. Regularly hold pilot seminars to share and promote advanced experience nationwide, accelerate the implementation progress, and help the Healthy China Action. (Intern reporter)
Huang Jiong Rui, reporter Zhang Ke, design Yan Ni, proofread Li Yingzhuo)