Volume 21 Issue 3
Mar.  2023
Turn off MathJax
Article Contents
YUAN Ling, SHI Jianwei, YU Wenya, CHEN Ning, CHEN Hong, GAO Ya, TAN Shuoyuan, HUANG Guangcheng, PENG Derong, WANG Zhaoxin, SUN Wanju. The status of sub-health assessment methods for young and middle-aged people from the perspective of family doctor contract promotion[J]. Chinese Journal of General Practice, 2023, 21(3): 357-360. doi: 10.16766/j.cnki.issn.1674-4152.002882
Citation: YUAN Ling, SHI Jianwei, YU Wenya, CHEN Ning, CHEN Hong, GAO Ya, TAN Shuoyuan, HUANG Guangcheng, PENG Derong, WANG Zhaoxin, SUN Wanju. The status of sub-health assessment methods for young and middle-aged people from the perspective of family doctor contract promotion[J]. Chinese Journal of General Practice, 2023, 21(3): 357-360. doi: 10.16766/j.cnki.issn.1674-4152.002882

The status of sub-health assessment methods for young and middle-aged people from the perspective of family doctor contract promotion

doi: 10.16766/j.cnki.issn.1674-4152.002882
Funds:

 22692107200

 201940052

 PW2019D-14

 XRC2022018

  • Received Date: 2022-11-28
    Available Online: 2023-04-19
  • Family doctor contract service is an important part of whole life-cycle health management in community. Improving the contract rate of family doctors for normal groups is a major challenge at present. This paper focuses on young and middle-aged people, and sorts out the sub-health status and assessment methods respectively, and proposes that the pre-disease sub-health status assessment with fatigue as the main symptom may become a breakthrough for promoting contracts signing in the young and middle-aged population. Sub-health status is closely related to the occurrence and development of chronic diseases. It is helpful to evaluate the sub-health status of young and middle-aged people by limiting it to pre-disease sub-health states with fatigue as the main symptom. Secondly, we comparatively analyzed the advantages and disadvantages of existing sub-health assessment methods and the shortcomings of sub-health assessment for young and middle-aged people. We found that the current sub-health status assessment is mainly based on scales and questionnaires, with strong subjectivity and lack of objective evaluation indicators. In addition, compared with traditional statistical modeling methods, machine learning algorithms can process large sample sizes and multi-dimensional data, which has better evaluation efficiency. In view of the lack of objective evaluation indicators and methods in sub-health assessment in young and middle-aged people, it is recommended that multi-dimensional objective evaluation indicators should be included to integrate machine learning methods to construct a scientifically feasible assessment model of pre-disease sub-health status, as well as to set the model threshold with chronic disease critical indicators. Expecting that the scientific and effective pre-disease sub-health status assessment can improve the active health awareness of young and middle-aged people and provide personalized health management services to meet their needs for family doctor services, thereby increasing their willingness to sign family doctor contracts.

     

  • loading
  • [1]
    王显君, 唐智友, 杨文梅, 等. 基层医疗卫生机构医防"五融合"健康管理服务模式研究[J]. 中国全科医学, 2020, 23(31): 3924-3929. doi: 10.12114/j.issn.1007-9572.2020.00.454

    WANG X J, TANG Z Y, YANG W M, et al. Delivery of essential medical services with national essential public health services via five integrated measures in primary care settings: a practical study[J]. Chinese General Practice, 2020, 23(31): 3924-3929. doi: 10.12114/j.issn.1007-9572.2020.00.454
    [2]
    国家卫生健康委员会. 国家卫生健康委员会2021年7月23日新闻发布会文字实录[EB/OL]. (2021-07-23)[2023-01-03]. http://www.nhc.gov.cn/xcs/s3574/202107/ea10acafc7d1493d820f6789c51cf571.shtml.

    National Health Commission of the People's Republic of China. Transcript of the press conference of the National Health Commission on 23 July 2021[Z]. (2021-07-23)[2023-01-03]. http://www.nhc.gov.cn/xcs/s3574/202107/ea10acafc7d1493d820f6789c51cf571.shtml.
    [3]
    姚岗, 张诚, 徐健, 等. 中青年楼宇人群对家庭医生签约服务的需求及影响因素研究[J]. 中国全科医学, 2022, 25(22): 2773-2781. doi: 10.12114/j.issn.1007-9572.2022.0010

    YAO G, ZHANG C, XU J, et al. Needs and associated factors of contracted family doctor services in young and middle-aged office building occupants[J]. Chinese General Practice, 2022, 25(22): 2773-2781. doi: 10.12114/j.issn.1007-9572.2022.0010
    [4]
    郝雨, 崔雅琦, 杨永华, 等. 上海市某街道楼宇白领人群健康状况及差异分析[J]. 中华全科医学, 2021, 19(7): 1158-1162. doi: 10.16766/j.cnki.issn.1674-4152.002010

    HAO Y, CUI Y Q, YANG Y H, et al. Analysis of health status and differences among white-collar workers in one street in Shanghai city[J]. Chinese Journal of General Practice, 2021, 19(7): 1158-1162. doi: 10.16766/j.cnki.issn.1674-4152.002010
    [5]
    SHI J W, CHI C H, GONG X, et al. Examining health disparities and characteristics in general practice utilization: based on outpatient data from 2014—2018 in Shanghai[J]. BMC Fam Pract, 2020, 21(1): 74. doi: 10.1186/s12875-020-01146-5
    [6]
    朱晓燕, 刘茜, 丁蕾, 等. 基于人口特征的家庭医生签约服务需求分析[J]. 中国初级卫生保健, 2021, 35(11): 26-31. doi: 10.3969/j.issn.1001-568X.2021.11.0009

    ZHU X Y, LIU Q, DING L, et al. Analysis of family doctor contract service demand based on population characteristics[J]. Chinese Primary Health Care, 2021, 35(11): 26-31. doi: 10.3969/j.issn.1001-568X.2021.11.0009
    [7]
    徐健, 姚岗, 潘文雷, 等. 中青年楼宇人群的家庭医生签约服务需求满足状况及影响因素研究[J]. 中国全科医学, 2022, 25(22): 2782-2789. doi: 10.12114/j.issn.1007-9572.2022.0009

    XU J, YAO G, PAN W L, et al. Prevalence of met needs for contracted family doctor services and associated factors in young and middle-aged office building occupants[J]. Chinese General Practice, 2022, 25(22): 2782-2789. doi: 10.12114/j.issn.1007-9572.2022.0009
    [8]
    张兆泉. 关于《亚健康中医临床指南》中医分类补充之拙见[J]. 临床合理用药杂志, 2012, 5(16): 143-144. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY201216131.htm

    ZHANG Z Q. Humble opinion on supplement of traditional Chinese medicine sorting about "Clinical Guide of Subhealth Chinese Medicine"[J]. Chin J of Clinical Rational Drug Use, 2012, 5(16): 143-144. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY201216131.htm
    [9]
    孙涛, 何清湖, 朱嵘, 等. 中医亚健康状态分类指南[J]. 世界中西医结合杂志, 2022, 17(9): 1891-1893, 1898. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZX202209039.htm

    SUN T, HE Q H, ZHU, R, et al. Guideline for classification of sub-health status in traditional chinese medicine[J]. World J Integr Tradit West Med, 2022, 17(9): 1891-1893, 1898. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZX202209039.htm
    [10]
    吴思英. 亚健康流行现状及其心血管疾病转归与预防[C]//安徽省2019年度流行病与卫生统计学学术年会论文集, 2019-12, 中国安徽合肥: [出版社不详], 2019: 9.

    WU S Y. Subhealth epidemic status, outcome and prevention of cardiovascular diseases[C]. Proceedings of the Anhui Annual Conference on Epidemiology and Health Statistics 2019.2019-12, Hefei, Anhui, China : [Publishing house unknown], 2019: 9.
    [11]
    孙悦, 刘雅儒, 王河宝, 等. "治未病"思想指导中年肝郁脾虚型亚健康状态的防治[J]. 中国中医基础医学杂志, 2017, 23(3): 349-350, 400. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC201703023.htm

    ZHANG Y, LIU Y R, WANG H B, et al. Prevention and treatment of middle-aged sub-health state of liver stagnation and spleen deficiency guiding by the thoughts of "Prevention of Disease"[J]. Journal of Basic Chinese Medicine, 2017, 23(3): 349-350, 400. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC201703023.htm
    [12]
    王云竹. 基于SVM的人体亚健康状态检测方法的研究与实现[D]. 北京: 北京工业大学, 2017.

    WANG Y Z. Research and realization of human sub-health state detection method based on support vector machine[D]. Beijing: Beijing University of Technology, 2017.
    [13]
    胡澎. 日本的"过劳"与"过劳死"问题: 原因、对策与启示[J]. 日本问题研究, 2021, 35(5): 1-9. https://www.cnki.com.cn/Article/CJFDTOTAL-RBWT202105001.htm

    HU P. "Overwork" and " Overwork Death" in Japan: causes, countermeasures and implications[J]. Japanese Research, 2021, 35(5): 1-9. https://www.cnki.com.cn/Article/CJFDTOTAL-RBWT202105001.htm
    [14]
    陈青山, 王声湧, 荆春霞, 等. 应用Delphi法评价亚健康的诊断标准[J]. 中国公共卫生, 2003, 19(12): 1467-1468. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW200312034.htm

    CHEN Q S, WANG S Y, JING C X, et al. Evaluation on diagnostic criterion of sub-health with Delphi method[J]. Chin J Public Health, 2003, 19(12): 1467-1468. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW200312034.htm
    [15]
    林沅锜, 许军, 李文源, 等. 亚健康评定量表评价安徽省城镇居民亚健康状态的信效度研究[J]. 中国全科医学, 2018, 21(15): 1845-1851. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201815022.htm

    LIN Y Q, XU J, LI W Y, et al. Reliability and validity of Sub-health Measurement Scale Version 1.0 for evaluating the sub-health status of Anhui urban residents[J]. Chinese General Practice, 2018, 21(15): 1845-1851. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201815022.htm
    [16]
    TANAKA M, ISHII A, WATANABE Y. Neural effect of mental fatigue on physical fatigue: a magnetoencephalography study[J]. Brain Res, 2014, 4(2): 104-114.
    [17]
    MILRAD S F, HALL D L, JUTAGIR D R, et al. Depression, evening salivary cortisol and inflammation in chronic fatigue syndrome: a psychoneuroendocrinological structural regression model[J]. Int J Psychophysiol, 2018, 131: 124-130.
    [18]
    LIDBURY B A, KITA B, LEWIS D P, et al. Activin B is a novel biomarker for chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) diagnosis: a cross sectional study[J]. J Transl Med, 2017, 15(1): 60.
    [19]
    朱鸿, 杨通琴, 张礼宪, 等. 频谱多普勒超声检测左心室舒张功能评价中青年人群亚健康状态的价值[J]. 江苏医药, 2015, 41(3): 313-314. https://www.cnki.com.cn/Article/CJFDTOTAL-YIYA201503027.htm

    ZHU H, YANG T Q, ZHANG L X, et al. Significance of spectral doppler ultrasound in evaluating left ventricular diastolic function in middle-aged people with sub-health status[J]. Jiangsu Medical Journal, 2015, 41(3): 313-314. https://www.cnki.com.cn/Article/CJFDTOTAL-YIYA201503027.htm
    [20]
    朱鸿, 刘洋, 方彦鹏, 等. 超声心动图检测左室舒张功能E/A比值在评估中青年人群亚健康状态中的临床价值[J]. 影像研究与医学应用, 2018, 2(22): 149-150. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYY201822099.htm

    ZHU H, LIU Y, FANG Y P, et al. Clinical value of left ventricular diastolic function E/A ratio measured by echocardiography in the evaluation of sub-health status in young and middle-aged people[J]. Journal of Imaging Research and Medical Applications, 2018, 2(22): 149-150. https://www.cnki.com.cn/Article/CJFDTOTAL-YXYY201822099.htm
    [21]
    王小强. 基于随机森林的亚健康状态预测与特征选择方法研究[J]. 计算机应用与软件, 2014, 31(1): 296-298, 307. https://www.cnki.com.cn/Article/CJFDTOTAL-JYRJ201401081.htm

    WANG X Q. Research on Random forest based sub-health state prediction and feature selection method[J]. Computer Applications and Software, 2014, 31(1): 296-298, 307. https://www.cnki.com.cn/Article/CJFDTOTAL-JYRJ201401081.htm
    [22]
    季晖. "1+1+1"医疗机构组合签约影响因素研究[J]. 中华全科医学, 2021, 19(3): 436-440. doi: 10.16766/j.cnki.issn.1674-4152.001830

    JI H. Study on the influencing factors of "1+1+1" type of contracted family doctor services[J]. Chinese Journal of General Practice, 2021, 19(3): 436-440. doi: 10.16766/j.cnki.issn.1674-4152.001830
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(1)

    Article Metrics

    Article views (376) PDF downloads(66) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return