为积极应对中国人口老龄化的重要任务，提出了主动健康管理（PHM）服务模式的理念。PHM是以人为本的模式，强调个人是健康的“第一责任人”，旨在实现“人人参与、人人尽力、人人享有”的健康管理模式。剖析了中国健康管理学科的发展历程，提出开创“主动健康模式”新时代所需要的5个发展维度，即通过提高主动健康管理素养水平，精准预测健康风险，智能预警预测健康事件，有效干预健康结局，从而促进全民健康。基于这5个发展维度，探讨了主动健康管理新模式所需的支撑条件和技术体系，包括理念变革及政策支持、信息技术与物联网技术、健康监测技术、健康行为干预技术以及推进社区示范与评价研究，总结了主动健康管理模式在健康管理学、数据生态领域、人工智能、社区实践、循证医疗发展中存在的问题和未来攻关方向。
To actively respond to the challenges of the population aging in China, this paper introduces the concept of the PHM model, along with the theoretical support for achieving the "proactive health" instead of the "passive health". The Proactive Health Management (PHM) model is a person-oriented model, which emphasizes one's "own-responsibility" for one's health, in the context of the whole population's engagement and benefit. This paper analyzes the historical development of the health management in China and proposes five dimensions of the PHM concept, including improving the public awareness of the health management, accurately predicting the health risks, intelligently warning for the health crises at an early age, and developing effective interventions, improving health outcomes for all. This paper explores the supporting conditions and technology systems applied in this PHM model based on these five dimensions. Specifically, this paper suggests to conceptualize the PHM, to promote the PHM community at the policy level, and to utilize the information technology, the artificial intelligence, and the behavioral health intervention in the health field. The existing challenges of applying the PHM in practice are reviewed, along with the potential future directions to develop the PHM model in China, particularly, in the health management, the data ecology, the artificial intelligence, the community practice, and the evidence-based medicine. The PHM focuses on the whole population's engagement to ensure that the Chinese population benefits from this model. This study proposes a PHM model as a "five dimension-in-one-place" model that integrates with the informatics and bionomics technologies, putting one's health information in a life circle.
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