Scenes of health management platform applications

I. Introduction

As my country gradually entered an aging society, the incidence of chronic non -infectious diseases (referred to as chronic diseases) was on the rise, and the proportion of chronic diseases in the burden of disease reached 70%, and the proportion of deaths had risen to 85%. Faced with the rising chronic diseases and mortality rates and mortality and overwhelming medical expenses and social burdens, the experience of western developed countries tells us that if you treat chronic diseases through intensive treatment methods and advanced technologies, the result will cause medical expenses to cause medical expenses. Rising rapidly, but the control of the incidence of crowds has little effect; on the contrary, through extensive development of health promotion, prevention services and health management, its cost is relatively low. Whether it is economic benefits or social benefits, it has achieved good results. Essence

Although the people pay more and more attention to health management, the actual development of the current health management, especially in the fields of community health service, the health maintenance of corporate employees, and the development of the health insurance industry. Therefore, this study aims to scientifically analyze and put forward policy suggestions on the development status and problems of health management in my country, so that it will give full play to the role of effectively controlling chronic disease burdens and promoting the health of the whole people.

(1) The situation of the community health service center carried out health management

The situation of health management in the community health service center can be concluded as aspects.

Health management service capabilities generally reflect that a large number of diagnosis and treatment time is consumed in asking questions such as general situations and medical history. The doctor's diagnosis and treatment time is limited, and many times even clinical prevention services cannot be completed seriously. It can be seen that problems such as unreasonable composition of the entire department and heavy clinical diagnosis and treatment tasks have hindered the development of health management. The relative shortage of personnel in the community health service center is generally existed, while the large -scale workload but relatively low treatment have made the community health service center lack attractiveness, and there are great problems in talent introduction.

The coverage rate of electronic health archives of residents of health management services in community has a high level of electronic health archives, with a file of 70 % to 90 %. However, the frequency of archives update is very different. Except for the unified inspection of the elderly, the update of electronic health files can only depend on clinical consultation. Moreover, these community health service centers do not use health files to conduct health risk assessments for individuals or groups, and also lack the ability to carry out health risk assessment.

Intervention management that threatens the risk factors of health groups is rarely carried out, and the means of health intervention is single. It is mainly based on health education and carried out health education classrooms regularly or irregularly. None of these health education has not carried out corresponding intervention effects, and lack of long -term and coherence. Often because of the single and fixed personnel participating, health education has great limitations. As part of the content of health files. The current Chinese medicine services are still mainly based on diagnosis and treatment services. Although some communities can carry out various traditional Chinese medicine services including Chinese medicine rehabilitation, there is still a large gap between the concept of "treating the disease".

(2) The situation of the company's health management

As the improvement of employee health conditions helps improve the production efficiency of the enterprise and reduce the expenses of medical expenses, enterprises have the willingness to carry out employee health management.

The form of health management services In foreign -invested enterprises and joint ventures, adhering to foreign health management concepts and models. In addition to providing employees with traditional medical insurance and medical services, enterprise management also consciously carried out various forms of health maintenance And health promotion project. However, the health management model of these enterprises is not generally applicable because they need a large amount of financial support itself. Many small and medium -sized enterprises do not have the ability to provide large and complete health management services for employees.

Health management services can provide basic medical medical examination services for employees each year. For small enterprises, the health -related services of employees are also limited to physical examination and organizational sports activities. The work related to health management carried out by the enterprise includes: organize health checkups, retain health files, and participate in organizational health promotion projects. However, due to their own ability, they did not effectively use these data to carry out health intervention.

Small and medium -sized enterprises have basically no system and formal health management services for health management service capabilities and problems. Because small enterprises are mainly young employees, they have not showed too much chronic disease burden. At present, the main health threats are the main performance of psychological health. The results of the medical examination show that the main health threats to employees are hyperlipidemia and hypertension. Enterprises do not have a special budget to purchase health management services for employees. There are difficulties in approval. They can only organize related activities based on unions.

(3) Physical Examination Center, Health Management Company and Health Insurance Company

Since entering the 21st century, my country's health service industry has flourished, and social institutions have also invested greater enthusiasm for the development of the health management industry.

The content of the health management service of the medical examination center is the largest proportion of the medical examination institutions in all health service industries. The physical examination can be understood as the first step of the entire health management service process. The individual health information collected during the medical examination is the basis for the subsequent health risk assessment and health intervention. At the same time, its results have certain authority and guidance to those who participate in the medical examination. Therefore, the medical examination institution has unique advantages in carrying out health risk assessment, health education and health management based on the results of the inspection. It is also easy to receive health education and management in terms of emotions. The reality is that most of the physical examination institutions are tired of dealing with daily medical examinations. The general medical examinations only issue the results of the results of the inspection, and they almost do not provide other services. At the same time, our current charging policy does not support the medical examination institutions to charge other expenses other than medical examinations. Therefore, the medical examination center has neither the ability nor the motivation to carry out more health management projects. The management service after the medical examination did not follow up. Generally, the physical examination of the medical examination is over, the contact with the medical examination center is interrupted, and the medical examination center does not find people with health needs based on the medical examination data, and provides some basic health management services.

The content of the health management company's health management services Due to the consumption habits of Chinese people, people are unwilling to pay for health consultation and health lectures. Therefore, these projects are mainly to attract consumers and consolidate customer bases. The current health management company's business is still following the inspection -the way to seek medical treatment -cure. The core service content of health management -health risk assessment and risk factors intervention are not involved.

The content of the health management services of insurance companies is currently not many companies that carry out health insurance businesses in China. my country is currently developing in China as the national finance as the led by national medical insurance. The space for commercial medical insurance is very small. Many businesses are attached to life insurance. Under the department. In addition, the business of health insurance basically does not bring direct profits to the enterprise. Insurance companies have opened health insurance to attract customers, increase customer stickiness, and serve other insurance services.

The services related to health management provided by the insurance company include: purchase medical examination services for customers, preserve customers' health files, provide a green channel for customers in need, and provide a health promotion project that can be selected. At present, some companies have provided customers with health risk assessment service projects. They purchased health risk assessment software developed by foreign health management companies. Regarding health promotion projects, domestic insurance companies have also introduced foreign operating philosophy: insurance companies contribute to provide customers with services, invite customers to participate in fitness activities, encourage customers to maintain a healthy lifestyle through IoT technology, and reward customers in the form of points. Insurance companies hope to reduce customer medical expenditure through these health promotion activities. However, in general, there are still many restricted factors in providing health management for customers. The work that commercial insurance can carry out in the field of health management is still very limited.

Fourth, development suggestions

Based on the survey results of community health service centers, enterprises, health insurance companies, and health management service agencies, we have sorted out common problems and corresponding solutions.

(1) The concept of advocating the health management of life

Health management should not be just management at a certain age, but should be in the entire process of life that penetrates people, so as to maximize its effectiveness.

(2) Develop a suitable technology for health management, and give play to the promotion role of health management in the construction of a hierarchical diagnosis and treatment system

Strengthen the management and support of health management agencies. The establishment of health promotion and education professional institutions, community health service centers, schools, enterprises and institutions, insurance institutions as the main body, and social health management institutions are supplemented by health management work systems.

(3) Give full play to the role of the platform of the community health service center

After strengthening the first consultation of the community health service center, it also facilitates the development of health management. As the terminal of the community health service center, the health information of residents in the area will be grasped and managed. Both health management companies and health insurance companies need to use the community health service center as a transit platform to provide residents. The advantage is that it can standardize the data mode in order to share and ensure the security of data.

(4) Promote the advantages of traditional Chinese medicine and integrate the method of "treating the disease" into health management

The concept of "governing the disease" of traditional Chinese medicine is a unique medical classic theory in my country, and has the same simplicity as the modern health management concept from the West. Therefore, we can start with this to play the leading role of the idea of ​​"treating the disease" in modern health management, and combine the traditional medicine and modern western medicine of the motherland to promote the development of health management.

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