Expert members called for COPD to be included in the national basic public health program, respiratory disease management or enter a golden age

During the "two sessions" in 2022, Academician Wang Chen, member of the Standing Committee of the National Committee of the Chinese People's Political Consultative Conference, vice president of the Chinese Academy of Engineering, president of the Chinese Academy of Medical Sciences, and president of Peking Union Medical College, suggested that chronic obstructive pulmonary disease be included in the national basic public health service project. It is worth noting that this is the second time that Academician Wang Chen has officially submitted a proposal on COPD at the National Political Consultative Conference.

COPD has now become one of the three major chronic diseases on a par with hypertension and diabetes, and if the health management of COPD patients is included in the basic public health service project, it is expected to quickly change the severe situation of insufficient social cognition, insufficient diagnosis and treatment, and insufficient patient management of COPD. From government agencies, medical institutions to social enterprises, some pioneers have long been actively exploring new models of COPD prevention and control, and look forward to making up for the last kilometer of COPD prevention and control.

Henan Province is a typical representative of the first to try first, the province has established a provincial, municipal and county three-level prevention and control management of COPD prevention and control center, in addition, the subordinate Zhumadian City in the end of 2020 to open the "COPD full standardized management project", the COPD management into the benefit of the people project to vigorously promote, open up a copersmodium public health management test field. Among them, Qiyi Medical, which participated in the project as an enterprise force, undertook the program design and technical support work. On the occasion of the two sessions of the "integration of COPD into the national basic public health project", Arterial Network interviewed Qiyi Medical to share its successful experience in respiratory disease management.

Ms. Song Siyi, CEO of Qiyi Medical, said that it is the original intention of Qiyi Medical to improve the medical accessibility of patients with respiratory diseases such as COPD and help patients with respiratory diseases benefit. With the gradual attention paid to respiratory diseases at the national level and the maturity of various conditions such as the introduction of advanced technologies, a solid foundation has been laid for the standardized management of respiratory diseases, and the management of respiratory diseases has ushered in a golden opportunity.

"Heavenly Time": The Opportunity of the Times Under Policy

Respiratory diseases have always been the "hardest hit areas" of large-scale epidemics, and the state has expressed its determination to prevent and treat respiratory diseases from the policy level.

In the proposals of the two sessions, in addition to Academician Wang Chen, Professor Li Weimin, deputy to the National People's Congress and president of West China Hospital of Sichuan University, Professor Chi Chunhua, director of the Department of General Medicine of Peking University First Hospital, and Professor Shao Rong, executive dean of the Academy of Drug Regulatory Sciences of China Pharmaceutical University, jointly called for the inclusion of COPD in the mainland's basic public health service projects as soon as possible, enhance the awareness of the whole society on COPD diseases, enhance the construction of respiratory disease system in grass-roots health institutions, and improve the prevention, diagnosis, control and treatment of grass-roots medical personnel. Rehabilitation ability, so as to truly achieve the improvement of the level of prevention and treatment of COPD, benefiting the majority of patients.

At present, a variety of chronic diseases such as hypertension and diabetes have been included in basic public health service projects for many years, providing a set of service models for the health management of PATIENTS with COPD. Based on this, whether it is the urgency of the prevention and control of COPD itself, or the mature social conditions for the prevention and control of COPD, the inclusion of COPD in the national basic public health service project is a measure to do more with less.

Obviously, strengthening the construction of respiratory disease prevention and control and treatment system has become one of the next strategic priorities of the national public health system construction. The unprecedented importance of the policy to the management of respiratory diseases will become an important force to promote the sustainable development of respiratory health management.

"Geographical advantage": according to the situation, break through the difficult blockages,

Open up the "last mile" of COPD prevention and control management

Arterial Network quoted relevant reports, Professor Shao Rong, executive dean of the Institute of Drug Supervision Science of China Pharmaceutical University, said during the two sessions that the inclusion of the national basic public health project should be implemented at the national policy and institutional level. At present, the difficulty of including COPD in the project is the insufficient level of primary medical care. That is to say, the inclusion of the national basic public health project challenges the ability of grass-roots health medical personnel to deal with diseases and the ability of health education.

The construction of respiratory disciplines has become the will of the country, and the grass-roots level is the water of the respiratory discipline, and strengthening the prevention and control capacity of respiratory diseases at the grass-roots level is the basis for improving the overall prevention and treatment level of our respiratory diseases.

In order to solve the problem of origin, Qiyi Medical strives to make up for the "shortcomings of diagnosis and treatment ability" of grass-roots doctors in the implementation of the "Zhumadian COPD Whole Process Standardized Management Project", on the one hand, with the scientific and technological platform as the starting point, online and offline linkage provides grass-roots medical staff with all-round skills training such as COPD disease knowledge and lung function examination, so as to achieve the homogenization and standardization of diagnosis and treatment level.

On the other hand, Qiyi Medical has independently developed the respiratory disease management system "Qiyi", which provides doctors with the best diagnosis and treatment plan and tools, including management SaaS system, data analysis, intelligent hardware, out-of-hospital follow-up system and patient-side application. These tools focus on the needs and value of doctors in healthcare services, and are highly recognized and actively participated by doctors.

Through the will of the state and the experience of various places, it can be said that personnel, equipment, medicines and diagnostic and treatment technology have provided sufficient favorable conditions for basic medical care for COPD.

"People and people": wisdom + strength,

Scientific top-level design, rapid laying and landing

Monofilament does not form a line, a single tree does not become a forest, the standardized management of a disease needs to concentrate the strength of all parties, the government's administrative strength, the top-level design of the expert team, and the scientific research spirit that follows the guidelines are indispensable. Teams with rapid landing capabilities also play a vital role in disease management, and must be able to combine medicine and technology. At the same time as technological innovation, the design of disease diagnosis and treatment paths strictly follows the laws of medicine, and at the same time, the process of disease management needs to be operable, providing convenience for doctors to use and ensuring the smooth development of management projects.

In the process of carrying out the "Zhumadian COPD Whole Process Standardized Management Project", the Zhumadian Municipal Government signed an agreement with the National Respiratory Medicine Center of China-Japan Hospital, which is responsible for the construction of respiratory disciplines and the guidance of talent training in Zhumadian City, and at the same time carries out COPD screening and standardized management in Zhumadian City, and Qiyi Medical is responsible for the construction of the city's COPD screening and management platform.

Local county rural doctors/family doctors can screen the population through the digital mobile app, and the high-risk groups screened can be transferred to a higher-level hospital for lung function examination, and after the doctor formulates a treatment plan, it is then transferred to the village doctor/family doctor for long-term follow-up management. The platform realizes the full interconnection of COPD in medical institutions at all levels in the city, and concentrates on the standardized management of COPD for 1 million people, and jointly explores a new model of COPD public health management.

The highlight of the whole process management of COPD in Zhumadian's million population is to rely on artificial intelligence, Internet of Things, big data and Internet technology to achieve, which greatly improves the coverage efficiency of medical services while ensuring quality. At the same time as the project was promoted, the local second- and third-level hospitals collectively applied for the PCCM department standardization construction project jointly initiated by CTS and CACP, which made the respiratory and critical care medicine department more standardized from the six aspects of personnel, facilities, management, business, department and culture, and the discipline was improved as a whole. In addition, all the grass-roots medical institutions in Zhumadian City have participated in the respiratory disease prevention and treatment system and capacity improvement project of the grass-roots medical institutions, and have also greatly improved the level of prevention and diagnosis and treatment of grass-roots respiratory diseases.

In addition, in view of the clinical pain points combined with the analysis of a large number of data, Qiyi Medical has begun to carry out clinical research on pulmonary rehabilitation of digital therapy for respiratory chronic diseases, combined with evidence-based medicine and intelligent services, which is believed to become the first innovative grasp of domestic grassroots respiratory disease management and benefit more patients.

epilogue

In the process of promoting COPD into the basic public health management, it is necessary for all parties from all walks of life to work together to participate, in addition to the tilt of national policies and the support of industry experts, the current respiratory track has also emerged many participants such as instruments, innovative drugs, digital therapies, etc. The market pattern and innovative therapies are blooming, and it is believed that it will bring new gospel to more than 100 million COPD patients in China.

Supplementary reading: "To achieve the standardized management of COPD, what is the superiority of the "Zhumadian model"? 》