1.Ethical dilemmas and governance strategies of the integrated medical and elderly care model
Buke SUN ; Xinyi DONG ; Xuelan ZENG
Chinese Medical Ethics 2026;39(1):113-120
The integrated medical and elderly care model is a new type of elderly care model designed to address the demands of the elderly in terms of physical health, daily care, and spiritual comfort. It has significant practical significance for actively responding to the problems of population aging. However, this model still faces a series of ethical dilemmas in practical. By analyzing the ethical issues that may arise during the integration of medical and elderly care services, including conflicts between medical care and elderly autonomy, the challenges faced by informed consent, conflicts of interest between medical and elderly care services, and blurred boundaries between family care and social care, this paper proposed corresponding strategies, such as improving the construction of personalized care mechanisms, optimizing multi-level protection systems for informed consent, establishing a unified interest coordination mechanism and resource sharing platform, and strengthening the synergy between family support and social care. These strategies aimed to promote the healthy development of the integrated medical and elderly care model, ensure the protection of the basic rights and interests and well-being of the elderly to the greatest extent, and ultimately achieve a fairer and more sustainable aging social governance system.
2.Equity of health service utilization among patients with chronic multimorbidity:a qualitative study
Diandian ZHU ; Xinyi DONG ; Buke SUN
Modern Hospital 2025;25(11):1774-1777
Driven by the accelerating aging of global population,the prevalence of chronic diseases has been increasing annually.A growing proportion of patients often suffer from multiple concurrent chronic diseases-a condition termed multimorbidi-ty.In China,the utilization of healthcare services by patients with chronic disease multimorbidity is significantly influenced by factors such as age,economic status,education and other social determinants,giving rise to notable disparities in healthcare eq-uity.This paper reviews the current status of chronic-disease multimorbidity,investigate healthcare service utilization among such patients,and evaluate the extent of inequity so as to provide scientific evidence and policy references for improving the equity of health service use for this population.
3.Application status,challenges and optimization paths of"internet+"chronic disease management
Xinyi DONG ; Diandian ZHU ; Buke SUN
Modern Hospital 2025;25(9):1324-1326,1330
With the continuous rise in the incidence of chronic diseases,the traditional medical model has gradually shown limitations in coping with long-term and complex chronic disease management.In recent years,the rapid development of"Internet+"technologies,especially the deep integration of artificial intelligence,big data and other technologies,has opened up new paths for chronic disease management.This paper explores the application status and practical challenges of the"Internet+"chronic disease management model,and deeply analyzes its important role in improving the efficiency of chronic disease manage-ment,enhancing patients' health levels,and optimizing the allocation of medical resources.At the same time,it focuses on the prominent problems in technological progress and practical application,and puts forward targeted improvement measures accord-ingly,so as to provide suggestions and references for the high-quality development of"Internet+"chronic disease management in China.
4.Application status,challenges and optimization paths of"internet+"chronic disease management
Xinyi DONG ; Diandian ZHU ; Buke SUN
Modern Hospital 2025;25(9):1324-1326,1330
With the continuous rise in the incidence of chronic diseases,the traditional medical model has gradually shown limitations in coping with long-term and complex chronic disease management.In recent years,the rapid development of"Internet+"technologies,especially the deep integration of artificial intelligence,big data and other technologies,has opened up new paths for chronic disease management.This paper explores the application status and practical challenges of the"Internet+"chronic disease management model,and deeply analyzes its important role in improving the efficiency of chronic disease manage-ment,enhancing patients' health levels,and optimizing the allocation of medical resources.At the same time,it focuses on the prominent problems in technological progress and practical application,and puts forward targeted improvement measures accord-ingly,so as to provide suggestions and references for the high-quality development of"Internet+"chronic disease management in China.
5.Equity of health service utilization among patients with chronic multimorbidity:a qualitative study
Diandian ZHU ; Xinyi DONG ; Buke SUN
Modern Hospital 2025;25(11):1774-1777
Driven by the accelerating aging of global population,the prevalence of chronic diseases has been increasing annually.A growing proportion of patients often suffer from multiple concurrent chronic diseases-a condition termed multimorbidi-ty.In China,the utilization of healthcare services by patients with chronic disease multimorbidity is significantly influenced by factors such as age,economic status,education and other social determinants,giving rise to notable disparities in healthcare eq-uity.This paper reviews the current status of chronic-disease multimorbidity,investigate healthcare service utilization among such patients,and evaluate the extent of inequity so as to provide scientific evidence and policy references for improving the equity of health service use for this population.

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