鎽樿锛氭晠闅滈爯(y霉)娓垏鍋ュ悍绠＄悊绯荤当(t菕ng)锛圥rognosticsandHealthManagement,PHM锛夋槸鎻愰珮绯荤当(t菕ng)鎬ц兘鑸囧畬濂界巼锛屾笡灏戠董淇汉鍔涜垏淇濋殰璨�(f猫i)鐢ㄧ殑闂�(gu膩n)閸垫妧琛�(sh霉)銆備竴鍊�(g猫)鍏稿瀷鐨凱HM绯荤当(t菕ng)涓昏鍔熻兘鏈夋暩(sh霉)鎿�(j霉)閲囬泦銆佹暩(sh霉)鎿�(j霉)鍒嗘瀽銆佹晠闅滆ê鏂峰姛鑳姐€佸仴搴疯⿻(p铆ng)浼板姛鑳�銆佸＝鍛介爯(y霉)娓姛鑳藉拰缍慨姹虹瓥鍔熻兘銆傚皪(du矛)鏁�(sh霉)鎿�(j霉)鐨勬纰鸿檿鐞嗙洿鎺ュ奖闊垮埌鏁呴殰瑷烘柗銆佸仴搴疯⿻(p铆ng)浼板拰澹藉懡闋�(y霉)娓紝鎵€浠ラ伕鎿囨纰虹殑绠楁硶灏�(du矛)鏁村€�(g猫)绯荤当(t菕ng)鏄嚦闂�(gu膩n)閲嶈鐨�銆傛湰鏂囧緸鎻愰珮鏁呴殰瑷烘柗婧�(zh菙n)纰虹巼鍜屽彲闈犳€х殑鐩(bi膩o)鍑虹櫦(f膩)锛屽皪(du矛)椋涙(j墨)鏁呴殰鐨勫悇绋娓拰瑷烘柗鏂规硶閫�(j矛n)琛屼簡绯荤当(t菕ng)鎬х殑鐮旂┒锛屽苟瑷庤珫浜嗕俊鎭瀺鍚堟妧琛�(sh霉)銆佸皬娉㈣畩鎻涘拰璨濊憠鏂恫(w菐ng)绲�(lu貌)鐨勫劒(y艒u)缂洪粸(di菐n)銆�

闂�(gu膩n)閸佃锛歅HM锛涗俊鎭瀺鍚堬紱灏忔尝璁婃彌锛涜矟钁夋柉缍�(w菐ng)绲�(lu貌)

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闅ㄨ憲鑸┖绯荤当(t菕ng)寰�(f霉)闆滄€у拰缍滃悎鍖栨按骞崇殑鏃ョ泭鎻愰珮鍜屽熀浜庨姗�(j墨)绯荤当(t菕ng)鍙潬鎬�銆佸畨鍏ㄦ€�銆佺稉(j墨ng)婵�(j矛)鎬х殑鑰冩叜锛屼互妾㈡脯鎶€琛�(sh霉)鐐烘牳蹇冪殑鏁呴殰闋�(y霉)娓垏鍋ュ悍绠＄悊绯荤当(t菕ng)锛圥HM锛夋妧琛�(sh霉)鎵€璧风殑浣滅敤涓嶅彲鎴栫己锛屾槸鑸┖鎶€琛�(sh霉)鐧�(f膩)灞曡定鍕箣涓€锛孭HM鎶€琛�(sh霉)鐨勭櫦(f膩)灞曢珨鐝�(xi脿n)鍦ㄤ互绯荤当(t菕ng)绱�(j铆)闆嗘垚鎳�(y墨ng)鐢ㄧ偤鐗藉紩锛岄枊灞�?f脿n)椤烞(t脿i)妾㈡脯銆佹晠闅滆ê鏂�銆侀爯(y霉)娓�銆佸仴搴风鐞嗚垏缍(h霉)绛夊姛鑳界偤涓€楂旓紝鍦ㄦ簴(zh菙n)纰虹殑鏅�(sh铆)闁撳皪(du矛)婧�(zh菙n)纰虹殑閮ㄤ綅閲囧彇姝ｇ⒑鐨勭董淇椿鍕�(d貌ng)锛屽苟浣垮緱绯荤当(t菕ng)鍦ㄥ皻鏈畬鍏ㄦ晠闅滀箣鍓嶄汉鍊戝氨鑳戒緷鎿�(j霉)绯荤当(t菕ng)鐨勭暥(d膩ng)鍓嶅仴搴风媭娉佹焙瀹氫綍鏅�(sh铆)缍慨锛屽緸鑰屽(sh铆)鐝�(xi脿n)鑷姪寮忎繚闅�锛岄檷浣庝娇鐢ㄥ拰淇濋殰璨�(f猫i)鐢ㄧ殑鐩(bi膩o)銆傚嵆鏁�(sh霉)鎿�(j霉)铏曠悊绠楁硶鐨勭爺绌舵槸鏁呴殰妾㈡脯鎶€琛�(sh霉)鐨勬牳蹇冨苟姹哄畾浜嗘娓郴绲�(t菕ng)鐨勬簴(zh菙n)纰哄害銆�

2.鍦嬪収(n猫i)澶栫櫦(f膩)灞曟儏娉�

鑸┖鏁呴殰瑷烘柗鎶€琛�(sh霉)璧蜂簬20涓栫磤(j矛)60骞翠唬鏈�锛屽埌90骞翠唬鍚庨毃钁椾汉宸ユ櫤鑳藉拰鏁�(sh霉)鎿�(j霉)铻嶅悎鎶€琛�(sh霉)鐮旂┒鑸囨噳(y墨ng)鐢ㄧ殑娣卞叆锛屽湅澶栨鏈濊憲鍩轰簬鏁�(sh霉)鎿�(j霉)铻嶅悎鑱�(li谩n)姗�(j墨)瑷烘柗鍔熻兘鐨勭稖鍚堜俊鎭郴绲�(t菕ng)鏂瑰悜鐧�(f膩)灞�銆傛晠闅滆ê鏂风畻娉曞彲鍒嗙偤鍩轰簬鏁�(sh霉)瀛�(xu茅)妯″瀷鐨勮ê鏂风畻娉曞拰鍒嗛瑷烘柗娉曞叐澶ч銆傛暩(sh霉)瀛�(xu茅)妯″瀷瑷烘柗鏂规硶鎳�(y墨ng)鐢ㄧ殑闂�(gu膩n)閸垫檪(sh铆)寤虹珛姣旇純绮炬簴(zh菙n)鐨勬暩(sh霉)瀛�(xu茅)妯″瀷鍜屾晠闅滄柟绋嬪強鍏舵眰瑙�銆傝繎浜屽崄骞�锛岀編鍦ㄦ暩(sh霉)鎿�(j霉)铻嶅悎鎶€琛�(sh霉)鐨勬噳(y墨ng)鐢ㄥ仛浜嗗ぇ閲忕殑鐮旂┒宸ヤ綔锛岄噰鐢ㄤ汉宸ョ缍�(j墨ng)缍�(w菐ng)绲�(lu貌)鑸嘍-S璀夋摎(j霉)鐞嗚珫鐩哥祼(ji茅)鍚堢殑鏁�(sh霉)鎿�(j霉)铻嶅悎绠楁硶銆傛噳(y墨ng)鐢ㄤ俊铏�(h脿o)鐗瑰緛璀滄彁鍙栨妧琛�(sh霉)銆佹ā绯婇倧杓垏绁炵稉(j墨ng)缍�(w菐ng)绲�(lu貌)鐩哥祼(ji茅)鍚堢殑澶氶爡(xi脿ng)浜哄伐鏅鸿兘鎶€琛�(sh霉)銆傚湅鍏�(n猫i)灏�(du矛)澶氬偝鎰熷櫒鏁�(sh霉)鎿�(j霉)铻嶅悎鐨勭爺绌惰捣姝ョ浉灏�(du矛)杓冩櫄锛�20涓栫磤(j矛)鏈墠閫愭几琚噸瑕栬捣渚�锛屽鏁�(sh霉)鐮旂┒鏄熀浜庡悇绋鍨嬩汉宸ョ缍�(j墨ng)缍�(w菐ng)绲�(lu貌)灏�(du矛)鏁呴殰閫�(j矛n)琛岃ê鏂风畻娉曠爺绌讹紝鐩墠鍦嬪収(n猫i)闁嬪睍浜嗗鍌虫劅鍣ㄦ暩(sh霉)鎿�(j霉)铻嶅悎鎶€琛�(sh霉)鐨勭爺绌�锛岃垏鍦嬪鏁呴殰瑷烘柗鎶€琛�(sh霉)鐩告瘮閭勮檿浜庤捣姝ラ殠娈�銆�

3.鏁呴殰瑷烘柗鐨勫熀鏈師鐞嗗拰鍒嗛

渚嬪椋涙(j墨)鐨勭櫦(f膩)鍕�(d貌ng)姗�(j墨)锛屼竴鑸湁澹撴埃姗�(j墨)銆佺噧鐕掑銆佹甫杓瓑涓昏閮ㄤ欢绲勬垚锛屾瘡鍊�(g猫)閮ㄤ欢鍙堟湁鑻ュ共鍊�(g猫)闆朵欢鍙婃(g貌u)浠舵(g貌u)鎴�锛屽緸绯荤当(t菕ng)璜栫殑瑙€榛�(di菐n)鍑虹櫦(f膩)锛岃嫢鎶婄櫦(f膩)鍕�(d貌ng)姗�(j墨)瑕栫偤绯荤当(t菕ng)锛屽墖绯荤当(t菕ng)鎴栫郴绲�(t菕ng)鐨勪竴閮ㄥ垎涓嶈兘鎴�?q奴)鈷夎崚鑺＄摽娣盇(y霉)瀹氬姛鑳界殑浜嬩欢鎴栫媭鎱�(t脿i)锛岀当(t菕ng)绋辩偤鏁呴殰銆傚鏋滄妸鐧�(f膩)鍕�(d貌ng)姗�(j墨)鏁呴殰锛堝師鍥狅級寮曡捣鐨勭櫦(f膩)鍕�(d貌ng)姗�(j墨)鎬ц兘琛伴€€锛堢祼(ji茅)鏋滐級鐨勫(sh铆)闅涘洜鏋滈亷绋嬬湅浣滄槸姝ｉ亷绋�锛岄偅涔堟晠闅滆ê鏂烽亷绋嬪氨鏄湁鍙脯鍙冩暩(sh霉)鐨勮畩鍖栵紙鎬ц兘閫€鍖栵級渚嗘壘鍑烘晠闅滃師鍥狅紙纰哄畾鏁呴殰閮ㄤ綅锛夌殑閫嗛亷绋嬨€�

涓€鑸彲瑕栫偤鍒嗛瑷烘柗娉曞拰鏁呴殰鏂圭▼娉曞叐椤烇細闈炴暩(sh霉)瀛�(xu茅)妯″瀷鐨勫垎椤炶ê鏂锋硶锛屽畠鐨勭悊璜栧熀绀�(ch菙)鏄ā寮忚瓨(sh铆)鍒ョ悊璜�锛屽叾琚ê鏂峰皪(du矛)璞★紙绯荤当(t菕ng)锛夊彲鑳界櫦(f膩)鐢熺殑鏁呴殰鐙€鎱�(t脿i)鏄湁闄愮殑銆傚父瑕嬬殑鍒嗛鏂规硶鏈夛細妯″紡鍖归厤娉�銆佸垽鍒ュ嚱鏁�(sh霉)鍒嗛娉�銆佸熀浜庢鐜囩当(t菕ng)瑷�(j矛)鐨勫垎椤炴硶銆佺缍�(j墨ng)缍�(w菐ng)绲�(lu貌)鍒嗛娉曞拰鍩轰簬瑕�(gu墨)鍓囨帹鐞嗙殑鍒嗛娉曠瓑?锛涱媱璺€?sh霉)瀛�(xu茅)妯″瀷鐨勬晠闅滄柟绋嬫硶蹇呴爤寤虹珛寰�(f霉)闆滅殑鏁�(sh霉)瀛�(xu茅)妯″瀷锛屽叾鏁呴殰妯″瀷鐨勫缓妯＄簿搴﹁垏鏁呴殰瑷烘柗鐨勬簴(zh菙n)纰哄害闂�(gu膩n)绯绘サ澶�锛屽鐣岀殑骞叉摼灏�(du矛)姹傝В绲�(ji茅)鏋滅殑褰遍熆涔熺浉灏�(du矛)杓冨ぇ銆�

4.绠楁硶鐨勭爺绌�

3.1鍩轰簬绁炵稉(j墨ng)缍�(w菐ng)绲�(lu貌)鐨勬暩(sh霉)鎿�(j霉)铻嶅悎鎶€琛�(sh霉)

鐢变簬椋涙(j墨)鐨勭祼(ji茅)妲�(g貌u)寰�(f霉)闆溿€佹ā鍨嬬殑鍤�(y谩n)閲嶉潪绶氭€�锛屾脯閲忕稖鍚堣宸皪(du矛)鏁呴殰妾㈡脯鐨勫共鎿惧奖闊跨殑鍘熷洜锛岄€犳垚浜嗛姗�(j墨)鏁呴殰瑷烘柗鐨勫京(f霉)闆滆垏鍥伴洠?锛涱媱璋濋櫒閿ㄩ梿r閲囩敤淇℃伅铻嶅悎鎶€琛�(sh霉)渚嗚ê鏂锋晠闅�銆備緥濡傚皣娓噺榛�(di菐n)闆诲銆佹韩搴�銆佽兘閲忔暩(sh霉)鎿�(j霉)閫氶亷娆�(qu谩n)閲�/琛ㄦ焙銆佽矟钁夋柉鎺ㄧ悊銆佸崱鐖炬浖婵炬尝绛夐亷绋嬮€�(j矛n)琛屾伆鐣�(d膩ng)?sh霉)濞滆?锛屾彁楂�?sh霉)鎿�(j霉)渚嗘簮鐨勭疆淇″害銆備俊鎭瀺鍚堟妧琛�(sh霉)绀烘剰濡傚湒1锛�

鍦�1淇℃伅铻嶅悎鎶€琛�(sh霉)绀烘剰鍦�

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3.2灏忔尝璁婃彌

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