中国康复理论与实践2025，Vol.31Issue(2)：125-135,11.DOI:10.3969/j.issn.1006-9771.2025.02.001
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
Policies,standards and technological models of digital rehabilitation aligned with the framework of WHO's global digital health strategy
摘要
Abstract
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.关键词
数字康复/康复数字化标准体系/数字康复技术模式/全球数字健康战略Key words
digital rehabilitation/digital rehabilitation standard system/digital rehabilitation technology models/global digital health strategy分类
临床医学引用本文复制引用
杨亚茹,邱卓英,陈迪,王忠彦,张萌,井淇,张耀光..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[J].中国康复理论与实践,2025,31(2):125-135,11.基金项目
1.中国残联课题(No.24&BZA001) （No.24&BZA001）
2.山东省重点研发计划(软科学)项目(No.2023RZA01011 （软科学）
No.2023RZB01013) （）
3.国家卫生健康委医院管理研究所医疗质量(循证)管理研究项目(No.YLZLXZ24G032) （循证）
4.中央高水平医院临床科研业务费(No.2022-PUMCH-A-223) （No.2022-PUMCH-A-223）
5.中国康复科学所中央级公益性科研院所基本科研业务费项目(No.CRSI2024CZ-1) （No.CRSI2024CZ-1）
6.国家自然科学基金面上项目(No.72374156) China Disabled Persons'Federation Project(No.24&BZA001),Shandong Key Research and Development Plan(Soft Science)(No.2023RZA01011 （No.72374156）
No.2023RZB01013),Medical Quality(Evidence-Based)Management Research Project of Hospital Management Research Institute,National Health Commission(No.YLZLXZ24G032),Central High Level Hospital Clinical Research Business Expenses(No.2022-PUMCH-A-223),the Fundamental Research Funds for Central Public Welfare Research Institutes,conducted by China Rehabilitation Science Institute(No.CRSI2024CZ-1),and National Natural Science Foundation of China(General)(No.72374156) （Evidence-Based）
