Abstract
In recent years, the “Internet + medical” exploration and the country’s vigorously promoted hierarchical diagnosis and treatment system have provided an opportunity to improve the status quo of diabetes. Some scholars have proposed “one-to-one binding community nurses” (Wang Li et al., 2016) and personalized treatment based on big data (He Ting et al., 2016). New chronic disease management concepts such as an integrated chronic disease management model for the elderly based on mobile medical technology (Che Fengyuan et al., 2016). Although different names are used, the core point of view is that patients and community doctors complete the contract, the community doctors will take care of the patients, and the hospital doctors will take care of the patients. The patient’s blood glucose data can be shared with relatives and friends, community doctors, and hospital doctors in real time with the help of platform tools such as blood glucose meters, mobile apps, and cloud medical platforms. And community and hospital doctors’ feedback on patients can also be sent to patients and relatives and friends in real time, thereby realizing hierarchical diagnosis and treatment of diabetic patients when medical resources are scarce and unevenly distributed. This article refers to this model as the “family-style chronic disease management model”. The interaction between patients, relatives and friends, community doctors, and hospital doctors is shown in Figure 1.
Highlights
Existing research has provided a rich preliminary research foundation for the Internet-based emerging chronic disease management model, but there are still gaps in the following two aspects
If the blood glucose data is abnormal, the contracted doctor will contact the patient one-on-one to understand the cause of the abnormal blood glucose and give a treatment plan
The relevant participants in charge of the pilot, including relevant persons in charge of the medical platform, patients, community doctors and specialists, have a strong willingness to participate in the survey, which provides good conditions for the data collection of this study
Summary
Existing research has provided a rich preliminary research foundation for the Internet-based emerging chronic disease management model, but there are still gaps in the following two aspects. The emerging chronic disease management model based on the Internet in the Chinese context involves issues such as which. Participants, how to divide and interact with each other, and how to evaluate the effectiveness of chronic disease management. There is a lack of fine-grained research on the process and mechanism of chronic disease management. The implementation process, implementation status, implementation subjective experience and implementation problems of chronic disease management are still black boxes
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