Implementation of a "hospital-community general practitioner co-management" model for multimorbidity via a mobile-based digital platform
10.3760/cma.j.cn114798-20241108-00873
- VernacularTitle:依托移动数字化平台实施“双师共管”多病共存管理模式的探索
- Author:
Meng GUO
1
;
Huicui ZHAO
;
Huiqi YANG
;
Fuqun GUO
;
Yuqi ZHANG
;
Qiujun WANG
;
Lihong JIANG
;
Jia MENG
Author Information
1. 哈尔滨医科大学附属第二医院全科医疗科，哈尔滨 150086
- Publication Type:Journal Article
- Keywords:
Comorbidity;
Management mode;
Hospital-community general practitioner co-management;
Mobile digital platform
- From:
Chinese Journal of General Practitioners
2025;24(7):883-887
- CountryChina
- Language:Chinese
-
Abstract:
Multimorbidity has emerged as a critical global public health challenge, necessitating effective management strategies. In Heilongjiang Province, a cold north region in China with a high prevalence of multimorbidity, healthcare disparities, uneven resource distribution, and inadequate chronic disease control remain pressing issues. Driven by national policies on family physician contracting and regional demands for chronic disease management, this study established a "hospital-community general practitioner co-management" model utilizing a mobile-based digital platform. This model integrates hospital-based general practitioners into primary care teams to optimize resource allocation and enhance multimorbidity management. The initiative aims to explore pathways for improving healthcare system reform and strengthening the chronic disease prevention framework in the region.
