/ Daily News/August 26, 2022 Guangzhou - With the development of The Times, innovative technologies and models, as well as the continuous reform of the regulatory system, provide a hot land for the transformation and upgrading of clinical research digitalization. In order to better demonstrate the digital model of clinical trials, DIA China Digital Clinical Trial Innovation Forum (dTrial) was officially held in Suzhou Taihu International Conference Center recently. Many experts and scholars focused on the supervision, compliance, opportunities and other aspects of digital clinical trials to discuss, share and in-depth research on specific cases of digital clinical research.
Dr. Liu Hongying, the medical director of Zhiyun Health, was invited to attend the conference and presided over the sub-forum of "Digital technology and chronic disease management", discussing with expert guests how digital technology can be empowered and applied to all aspects of chronic disease management, so as to effectively provide more benefits for patients.< p> Professor Zhang Wenbin, chief physician of the Department of Cardiology, Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine, shared online the Exploration and Practice of Digital Management of Cardiovascular Diseases. He pointed out that with the aging of the population and the younger age of senile diseases, China has entered a period of high incidence of chronic diseases, and the number of chronic diseases such as cardiovascular diseases has shown a trend of increasing year by year.
In the traditional management model of cardiovascular diseases, the scene of providing medical services mostly takes place in the hospital. Patients lack professional guidance outside the hospital, and it is difficult to continuously monitor their physical conditions, which often leads to unsatisfactory treatment results. Moreover, many patients do not like to travel back and forth to the hospital, and at the same time, they lack the cognition of scientific and rational drug use. Only relying on offline free diagnosis and education activities to manage patients outside the hospital has little effect. The treatment and management of cardiovascular diseases still face enormous challenges.
If digital technology can be combined with the traditional diagnosis and treatment of cardiovascular diseases to realize the interconnection of data inside and outside the hospital, and provide patients with chronic disease management services including online consultation, health consultation, home delivery of medicine, disease education, etc., it can effectively solve the problems of pre-diagnosis consultation, post-diagnosis rehabilitation, out-of-hospital patient management and so on."Chronic diseases need both self-management and professional medical management." Professor Zhang mentioned that chronic diseases need long-term treatment, and for patients, they are the best candidates for chronic disease control and management. Digital technology can help patients master the knowledge and skills of targeted health care to a certain extent, and realize self-disease management, including lifestyle management and treatment compliance management. For example, patients can use smart wearable devices to self-monitor health data outside the hospital, and share it in real time through the Internet medical platform, so that doctors can timely evaluate patients' conditions online and provide scientific and effective management plans. Through the combination of out-of-hospital intelligent monitoring and in-hospital management, patients can realize that they can "manage" themselves, so as to better play a role in disease prevention and management and treatment, so that patients can benefit from it.
"Mind" and "body" health should be taken care of both hands
Professor Luo Junlong, head of the psychology department of the School of Education, Shanghai Normal University, shared online the spillover effect of digital cognitive behavioral therapy on insomnia treatment. Luo noted that due to the quickening pace of life and the increasing pressure of study and work, epidemiological data show that the incidence of insomnia among Chinese adults is as high as 38.2%, with more than 300 million people suffering from sleep disorders. Moreover, a large number of observational studies have shown that chronic insomnia is associated with a higher risk of cardiometabolic disease CMD, and insomnia has seriously affected people's health level and quality of life.
Using digital cognitive behavioral therapy to guide, correct and reconstruct the cognition, behavior and psychology of chronic insomnia, regulate sleep rhythm and manage sleep state can effectively relieve sleep disorders. A scientific study on the online management of chronic insomnia based on cognitive behavioral therapy technology, initiated by the Department of Psychology, College of Education, Shanghai Normal University, demonstrated the potential positive effects of digital cognitive therapy on chronic insomnia, as well as its spillover effects, in particular the observed reduction of fatigue, increased flow, and increased cognitive flexibility. These improvements can bring benefits to people's lives, studies and mental health.The research results have been successfully published in international journals and included by SSCI and SCI. Subsequent relevant studies will further observe the effect, persistence and stability of such spillover effects, and expand digital cognitive behavioral therapy to "heart" problems common in patients with chronic diseases such as anxiety and depression. Together with clinical practice, with the help of digital technology, both "heart" and "body" can be achieved.
Digital technology to break the bureau of diabetes management inside and outside the hospital
Zhong Shao, director of endocrinology of Kunshan First People's Hospital, shared "Digital Slow Disease Management of digital Disease" from the current situation of diabetes management, the advance of digital management of diabetes in the hospital, innovation of digital management of diabetes outside the hospital, the prospect of integrated digital management of diabetes inside and outside the hospital Application in Diabetes Management.
Director Zhong Shao pointed out that diabetes is a complex chronic disease, and its treatment is a long-term comprehensive management process which is constantly adjusted along with the course of disease. At present, diabetes management can be divided into in-hospital management and out-of-hospital management according to treatment scenarios. Due to the influence of many factors, it is still a great challenge to realize the true patient-centered integrated management inside and outside the hospital.
The common phenomenon of blood glucose management in the hospital is "information island". On the one hand, the medical resources in the hospital are limited, which cannot meet the needs of blood glucose management in all departments. On the other hand, the function of the hospital system is simple, and cross-department blood glucose data cannot be uniformly presented and dynamically reminded, and the management efficiency of abnormal blood glucose events is low. Out-of-hospital blood glucose management is an "information cut-off" : patients rely on home self-management after leaving the hospital, but relevant data such as blood glucose monitoring and diet records are missing, resulting in unsatisfactory therapeutic effect and compliance.
Digital technology has built a bridge for the integrated management of diabetes in hospital and outside hospital, realizing the interconnection of data in hospital and outside hospital, and also creating a one-stop solution for patients to realize the digital diabetes management of patients throughout their life cycle. In the hospital, doctors can use precise and efficient digital management tools to co-manage patients' blood sugar with multidisciplinary cooperation, and cultivate patients' ability to proactively self-manage. Outside the hospital, patients can use intelligent and convenient digital management tools to independently return health data and feedback home self-management of blood sugar, so that doctors can give timely follow-up suggestions and scientific and effective remote guidance.
A clinical study in which the Undergraduate department participated showed that after the digital whole-hospital blood glucose management system was put into use, the blood glucose level and length of stay of inpatients were significantly improved, and the blood glucose level was more stable and the length of stay was less. This not only increases the efficiency and effect of chronic disease management in hospitals, but also reduces the cost of medical treatment for patients and improves their medical experience.
Digital enabling chronic disease management ecology, creating a new future of medical health
Dr. Liu Hongying, head of Zhiyun Health Medicine, entitled "Application of digital technology in the Whole Life cycle of chronic disease Management", It also shared the important role of digital technology in the process of chronic disease management and the practical exploration of Zhiyun health innovation in the field of digital chronic disease management.
Dr. Liu Hongying introduced that the introduction of Internet medical policies, the arrival of digital construction peak and inflection point have brought development opportunities for the serious medical treatment of deep cultivation and chronic disease management represented by Zhiyun Health. Especially catalyzed by the pandemic, patients with chronic diseases need more efficient and convenient medical solutions, such as digital health management. Focusing on the needs of patients, Zhiyun Health focuses on various chronic disease management scenarios in and out of the hospital through technological innovation and mode innovation, and joins hands with hospitals, pharmacies, pharmaceutical companies, communities and other forces to jointly create a "patient-oriented" chronic disease management and service closed loop, and solve the medical difficulties and pain points with hard technology. It enables patients to realize the integrated management of diagnosis and treatment in the whole process from physical hospital to outside hospital, so as to obtain better medical and health protection. < /p>At present, chronic disease management and the digital world have entered a stage of deep coupling. New supplies brought by new technologies and new services and diversified coverage of medical scenarios are bringing unprecedented new incremental opportunities to the field of chronic disease management. Zhiyun Health is also realizing the forward-looking layout of the digital medical field through the connection and collaboration of digital technology in the medical field. In the future, we are willing to continue to promote the transformation and upgrading of Chinese-style digital chronic disease management through concerted efforts and full cooperation, so as to bring more value to the majority of doctors, patients and industry related parties.
