首页|基于认知行为治疗的数字疗法在社区慢性病管理中的应用及展望

基于认知行为治疗的数字疗法在社区慢性病管理中的应用及展望

Application and prospects of cognitive-behavioral therapy based digital therapeutics of chronic disease management in the community

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数字疗法作为由高质量软件程序驱动、有效且安全的新兴干预手段,正逐渐应用于基层临床实践.认知行为治疗(CBT)是心理治疗领域应用最广泛的经典方法,也是诸多数字疗法产品中的关键核心技术.传统CBT干预技术的实施通常存在治疗场所及专业人员不足的局限,无法普及到更广泛的目标人群.借助数字疗法,将CBT技术融入相应设计模块,可突破上述局限.目前CBT-数字疗法产品在基层慢性病防治领域主要应用在患者生活方式干预及以人为中心的照顾方面,其在常见慢性病健康监测及预防、疾病治疗和优化药物治疗效果方面的应用尚存在较大的开发空间.作为引领基层医疗服务质量高效推进、满足主动健康科技发展的重要支撑,CBT-数字疗法获得了政策环境大力的支持、新兴科技的全面赋能以及慢性病患者自我健康管理意愿的带动,迎来了关键发展机遇.同时,CBT-数字疗法未来还存在一些亟待突破和完善的关键点.今后需注重符合监管需要的临床数据的积累,基于患者慢性病数据、利用算法技术,进一步精准定位患者的个性化需求,以拓宽CBT-数字疗法慢性病管理适应证.同时,需进一步完善数字疗法相关监管法规,制定与数字疗法产品相适应的审批制度,并完善CBT-数字疗法产品数据的安全性、隐私保护、医保支付政策等方面的行业标准.
Digital therapeutics,as an emerging effective and safe intervention driven by high-quality software programs,are increasingly being used in primary care based clinical practice.Cognitive-behavioral therapy(CBT)is the most wide-ly used classical approach in psychotherapy and is also a core technology in many digital therapeutics products.CBT in-terventions are usually limited by the lack of treatment space and professionals,which makes it impossible to reach out to a wider target group of patients.With the help of digital therapeutics,CBT technology can be integrated into the corre-sponding design module to break through these limitations.At present,CBT-digital therapeutics products are mainly used in the field of primary chronic disease prevention and treatment in the field of lifestyle intervention and patient-centered care,and there is still a large development potential for their application in health monitoring and prevention of common chronic diseases,disease treatment and optimization of drug treatment effects.As an important support to lead the effi-cient promotion of the quality of primary care services and meet the development of active health technology,CBT-digital therapeutics have ushered in key development opportunities driven by the strong support of the policy environment,the comprehensive technological innovation empowered by emerging technologies,and the increased willingness of patients with chronic diseases to manage their health.At the same time,there are still some key points that need to be broken through and improved in the future of CBT-digital therapeutics.In the future,it is necessary to pay attention to the accu-mulation of clinical data that meets the needs of supervision,and use algorithm technology to further accurately locate the personalized needs of patients based on patients'chronic disease data,so as to broaden the indications for chronic disease management of CBT-digital therapeutics.At the same time,it is necessary to further improve the regulatory regulations related to digital therapeutics,formulate an approval system suitable for digital therapeutics products,and improve indus-try standards in terms of data security,privacy protection,and medical insurance payment policies.

Cognitive-behavioral therapyDigital therapeuticsPrimary careChronic disease managementEvidence-based medicine

朱婷、黄亚芳、相彤、吴浩

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首都医科大学全科医学与继续教育学院,北京 100069

数字疗法 认知行为治疗 基层医疗 慢性病管理 循证医学

北京市高层次公共卫生技术人才培养计划

2022-1-005

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(3)
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