由疾病治疗向健康管理转型 构建“市-县-镇”三级慢病防治网络

Core Viewpoint - The establishment of a three-tier chronic disease management network in Suzhou aims to enhance the management of major chronic diseases such as hypertension, diabetes, chronic obstructive pulmonary disease (COPD), and osteoporosis through integrated AI technology and public health resources [1][2] Group 1: Chronic Disease Management Network - The chronic disease management network will cover "city-county-town" integration, focusing on full-cycle management of chronic diseases [1] - The initiative is part of Suzhou's goal to become a "model city for healthy China," addressing the rising incidence and burden of chronic diseases [1] - The management system will involve collaboration among city-level expert teams, chronic disease management teams, and family doctor teams, supported by county medical communities [1] Group 2: AI Integration and Technological Empowerment - AI technology will be integrated throughout the management process, enabling real-time data sharing among 26 tertiary public hospitals and 148 grassroots institutions [2] - The development of an "AI General Practitioner" is underway, allowing citizens to interact with AI for intelligent follow-ups and personalized treatment plans [2] - Specific hospitals have been selected as "city-level chronic disease specialty management centers" to lead the management of individual diseases [2] Group 3: Expert Collaboration and Strategic Partnerships - A committee of ten authoritative experts, including a member of the Chinese Academy of Engineering, has been established to guide chronic disease management in Suzhou [2] - A strategic cooperation framework agreement has been signed with institutions such as the Shanghai Institute of Endocrinology and Metabolism [2]