西安交通大学学报（医学版）2026，Vol.47Issue(3)：405-413,9.DOI:10.7652/jdyxb202603002
基于数智平台的心血管病立体联动管控的理论框架与实践路径
Theoretical framework and practical pathway of integrated multidimensional management for cardiovascular diseases based on an intelligent digital platform
摘要
Abstract
With the continuous rise in the incidence of cardiovascular diseases(CVDs),their high disability and mortality rates pose a significant challenge to China's public health system.Against the backdrop of uneven regional distribution of medical resources,weak post-discharge management,and limited primary care capacity,exploring systematic and intelligent approaches for prevention and control has become imperative.In view of the current healthcare system in China,this study integrates artificial intelligence(AI)and information technology to construct a theoretical framework for multi-level,integrated CVDs management,centered on medical quality improvement,extension of post-discharge services,and strengthening of primary care capacity.A unified digital intelligence platform was developed to support practical implementation,integrating heterogeneous multi-source data and encompassing four core functional modules:medical quality control,hospital management and research data services,full-cycle post-discharge management,and primary care chronic disease management.The platform enables an intelligent service model and supports multi-dimensional effectiveness evaluation.Drawing on both domestic and international CVDs prevention and control experiences,corresponding strategies for wider implementation are proposed.This study aims to provide theoretical support and practical pathways for building a full-process,intelligent CVDs management system,promoting the transformation of chronic disease management in China toward efficient coordination and intelligent integration,and offering sustainable solutions for achieving the objectives of the Healthy China strategy.关键词
心血管病(CVDs)防治/人工智能(AI)/信息技术/医院管理/创新实践Key words
prevention and control of cardiovascular diseases(CVDs)/artificial intelligence(AI)/information technology/hospital management/innovative practice分类
医药卫生引用本文复制引用
张雪,袁靖,卜天,杨妤婕,汪洋,孙兰迪,舒婷,赵韡..基于数智平台的心血管病立体联动管控的理论框架与实践路径[J].西安交通大学学报（医学版）,2026,47(3):405-413,9.基金项目
国家自然科学基金面上项目(No.72374216) （No.72374216）
心血管病高危人群早期筛查与综合干预项目(信息中心平台2025-8)Supported by the National Natural Science Foundation of China(No.72374216)and Early Screening and Comprehensive Intervention Program for High-Risk Populations with Cardiovascular Diseases(Information Center Platform,2025-8) （信息中心平台2025-8）
