Disease burden of chronic obstructive pulmonary disease under the hierarchical medical system based on medical internet of things
10.3760/cma.j.cn114798-20250107-00024
- VernacularTitle:基于医学物联网的分级诊疗模式下慢性阻塞性肺疾病区域性管理的疾病负担研究
- Author:
Huanying WANG
1
;
Fengli SI
;
Yiqun JIANG
;
Peng WU
;
Xiaobo SONG
;
Bangfeng ZHAO
;
Chunfeng SHENG
;
Xun XU
;
Fan LI
;
Tingting WU
Author Information
1. 上海市松江区中心医院呼吸内科，上海201600
- Publication Type:Journal Article
- Keywords:
Pulmonary disease, chronic obstructive;
General practitioners;
Medical internet of things;
Hierarchical medical system;
Direct economic burden
- From:
Chinese Journal of General Practitioners
2025;24(8):978-984
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the impact of implementing a regional hierarchical medical management model based on the medical internet of things (medical IoT) on the frequency of emergency department visits and hospitalizations, as well as related medical expenses, in patients with chronic obstructive pulmonary disease (COPD).Methods:This retrospective study included COPD patients enrolled in the regional hierarchical medical management system based on Medical IoT across 21 community health service centers in Songjiang District, Shanghai, between July 2017 and May 2018. Utilizing patient data from the year prior to enrollment as the baseline, changes in the number of emergency visits, hospitalizations, and associated medical costs during the first and second years of management were compared. Changes for patients receiving drug treatment were also analyzed.Results:A total of 973 COPD patients were enrolled. The mean age was 75.2±17.0 years, and 64.34% (626/973) were male. Compared to baseline, all COPD patients in the first year of management showed significant reductions: emergency visits decreased by 33.67%, total emergency costs by 45.60%, hospitalizations by 27.15%, and total hospitalization costs by 25.42%. In the second year, reductions were: emergency visits by 28.08%, total emergency costs by 36.10%, hospitalizations by 35.26%, and total hospitalization costs by 18.13% (all P<0.05). Among patients receiving drug therapy, reductions in the first year were: emergency visits by 39.66%, total emergency costs by 47.54%, hospitalizations by 25.19%, and total hospitalization costs by 28.40%. In the second year, reductions were: emergency visits by 46.98%, total emergency costs by 45.99%, hospitalizations by 41.98%, and total hospitalization costs by 24.94% (all P<0.05). No significant differences were observed before and after management for patients without drug treatment. Conclusion:The implementation of the regional hierarchical medical management model based on Medical IoT significantly reduced the frequency of emergency visits and hospitalizations, as well as related costs, for COPD patients.
