基于世界卫生组织全球数字健康战略架构的数字康复的政策、标准和技术模式研究OA北大核心

Objective To systematically analyze the global policy framework,standard systems and application technology models of digital rehabilitation within the framework of the World Health Organization(WHO)Global Digital Health Strategy and propose policy recommendations for the future development of digital rehabilitation. Methods Based on the policies on digital health and rehabilitation development issued by the WHO,focusing on the Global Digital Health Strategy,Rehabilitation 2030 Initiative,Rehabilitation in Health Systems,Rehabilitation in Health Systems:A Guide for Action,and World Report on Disability,a systematic review was conducted,to ex-plore the policy architecture and core content of digital rehabilitation,the standard system for digitalizing rehabil-itation,and key technological models for the development of digital rehabilitation. Results In the context of global health and digital transformation,the development of digital rehabilitation services was an essential component of the global digital health strategy.Building a comprehensive policy framework and con-tent system for digital rehabilitation was critical for strengthening rehabilitation data governance,enhancing data utilization efficiency,and ensuring data privacy and security.Empowering rehabilitation with digital technology was vital for improving the standardization,effectiveness,coverage,quality and safety of rehabilitation services.International digital rehabilitation policies primarily involved the following areas:policy and governance,digital standard systems,data privacy,security and ethics,digital talent cultivation and capacity building,and monitor-ing,evaluation and continuous improvement of digitally empowered rehabilitation services.The standard system for rehabilitation digitization covered the three major reference classifications of the WHO Family of Internation-al Classifications,including International Classification of Diseases Eleventh Revision(ICD-11),International Classification of Functioning,Disability and Health(ICF),and International Classification of Health Interven-tions(ICHI),especially ICF.It also included international data interoperability standards,data security and priva-cy protection standards,data quality and certification standards,and health information standards,etc.The appli-cation technology models of digital rehabilitation primarily included data-driven service models,artificial intelli-gence-enabled models,and remote rehabilitation models combined with virtual reality,augmented reality tech-nologies,and Internet of Things support. Conclusion The establishment and implementation of comprehensive policies,standards and technological models for digital rehabilitation are crucial for driving the digital transformation and development of global rehabilitation services.Under the framework of the WHO Global Digital Health Strategy,it is necessary to build adaptive digi-tal rehabilitation policy frameworks,and enhance digital governance capabilities and levels,establishing and im-proving digital rehabilitation standard systems,and promoting the interoperability and integration of rehabilita-tion data with other health big data.Meanwhile,it is essential to actively develop data-driven technological mod-els for rehabilitation services to comprehensively improve the accessibility,availability,quality and safety of re-habilitation services.