基于移动服务的慢性病管理模式创新研究

Chronic diseases management is one of most challenging issues facing the current healthcare in China. Due to the uneven distribution of the medical resources, as well as the characteristics of such diseases (e.g. long-term and difficult to cure), it is increasingly difficult for related organizations to provide sufficient care for the chronic diseases. Thus, this project put forward three aspects of studies based on a mobile-based chronic care platform, including research on the service design of mobile-based chronic care, research on the mechanism of patient-doctor interaction in mobile-based chronic care, and research on the mechanism of patient self-health-management in mobile-based chronic care. Focused on the characteristics of the chronic diseases and chronically-ill patients, this project will explore the impacts of the multilateral interactions on patient behavior and value transformation in the mobile-based chronic care using a mixed of quantitative and qualitative methods. Generally and theoretically, this project will investigate the health feedback and gamification-based motivation mechanisms in service design, the trust transfer from physicians’ participation to the mobile context, and the value transformation in the service process. These efforts will provide brand-new insights into the research on patients-technology interaction in the mobile healthcare. Practically, this project will provide guidance to the distribution optimization of health resources and the value transformation from technologies to healthcare.

慢性病管理已经成为我国医疗领域面临的主要难题。我国医疗资源分配不均，导致医疗服务失衡，而慢性病的长期性、难治愈性也为慢性病管理增加了难度。为缓解这一问题，基于移动慢性病管理平台，本项目拟从三个专题展开研究：①慢性病移动服务设计研究；②移动慢性病管理中医患交互机制研究；③移动慢性病自我管理模式研究。拟运用定性与定量相结合的研究方法，从慢性病特性与患者特性的角度探索移动慢性病管理平台中多参与方信息交互对患者行为与价值转化效率的影响机制。理论上，本研究探讨了技术交互中信息反馈机制和游戏化激励机制，以及医生参与的信任转移机制，为移动医疗在技术与患者的交互行为影响研究提供理论和方法。实践上，本研究为优化医疗资源合理配置、实现技术价值向医疗价值转化提供基础和指导。

本项目开展了基于移动服务的慢性病管理模式创新研究。项目基于移动慢性病管理平台，针对慢性病特点与患者特性，围绕慢性病移动服务设计、医患交互机制、患者自我管理模式三个专题开展研究；同时将理论成果应用于实际中，推动自主研发的糖尿病管理APP – DiaSocial在医院的落地应用，为移动慢性病管理平台设计、医生参与患者移动慢性病管理、患者个性化自我管理提供实践指导，为慢性病患者提高健康管理效率做出贡献。基于上述研究，共发表论文26篇，包括SCI或SSCI检索期刊论文24篇。受基金支持，项目组邀请了美国、以色列、印度等地区和国家相关领域的研究者们就课题进行了深入交流探讨。项目共培养博士研究生12名、硕士研究生21名，其中已毕业博士生7名，已毕业硕士生16名。