《中国康复理论与实践》

《中国康复理论与实践》 ›› 2025, Vol. 31 ›› Issue (2): 125-135.doi: 10.3969/j.issn.1006-9771.2025.02.001

• 专稿 •    下一篇

基于世界卫生组织全球数字健康战略架构的数字康复的政策、标准和技术模式研究

杨亚茹1,2,3, 邱卓英1,2(), 陈迪2,4(), 王忠彦1,2, 张萌5, 井淇6, 张耀光7   

  1. 1.康复大学社会发展学院/国际康复政策和ICF研究中心，山东青岛市 266113
    2.世界卫生组织国际分类家族中国合作中心，北京市 100068
    3.华东师范大学体育与健康学院，上海市 200241
    4.中国康复科学所康复信息研究部，北京市 100068
    5.北京协和医院，北京市100730
    6.山东第二医科大学管理学院/ICF 研究院/康复健康研究院，山东潍坊市 261053
    7.国家卫生健康委统计信息中心，北京市 100044
  • 收稿日期:2025-01-20 出版日期:2025-02-25 发布日期:2025-02-25
  • 通讯作者: 邱卓英(1962-)，男，汉族，湖北武汉市人，博士，研究员、康复大学教授、世界卫生组织国际分类家族中国合作中心联席主任，主要研究方向：ICF、康复心理学、残疾与康复政策、康复科学，E-mail： qiutiger@hotmail.com；陈迪(1982-)，男，汉族，北京市人，博士，副研究员，世界卫生组织国际分类家族中国合作中心成员，主要研究方向：ICF、残疾研究、康复科学、康复大数据、康复信息，E-mail： chendi@crrc.com.cn。
  • 作者简介:杨亚茹(1997-)，女，汉族，北京市人，博士研究生，世界卫生组织国际分类家族中国合作中心成员，中国心理学会康复心理学专业委员会委员，主要研究方向：ICF、康复心理学、特殊教育、康复科学、健康心理学、锻炼心理学、残疾研究。
  • 基金资助:
    1.中国残联课题(24&BZA001);2.山东省重点研发计划(软科学)项目(2023RZA01011);2.山东省重点研发计划(软科学)项目(2023RZB01013);3.国家卫生健康委医院管理研究所医疗质量(循证)管理研究项目(YLZLXZ24G032);4.中央高水平医院临床科研业务费(2022-PUMCH-A-223);5.中国康复科学所中央级公益性科研院所基本科研业务费项目(CRSI2024CZ-1);6.国家自然科学基金面上项目(72374156)

Policies, standards and technological models of digital rehabilitation aligned with the framework of WHO's global digital health strategy

YANG Yaru1,2,3, QIU Zhuoying1,2(), CHEN Di2,4(), WANG Zhongyan1,2, ZHANG Meng5, JING Qi6, ZHANG Yaoguang7   

  1. 1. School of Social Development, International Center for Rehabilitation Policy and ICF Research, University of Health and Rehabilitation Sciences, Qingdao, Shandong 266113, China
    2. WHO-FIC Collaborating Center in China, Beijing 100068, China
    3. College of Physical Education and Health, East China Normal University, Shanghai 200241, China
    4. Rehabilitation Information Research Department, China Rehabilitation Science Institute, Beijing 100068, China
    5. Peking Union Medical College Hospital, Beijing 100730, China
    6. School of Management/China Academy of ICF/China Rehabilitation and Health Research Institute, Shandong Second Medical University, Weifang, Shandong 261053, China
    7. Center for Health Statistics and Information, National Health Commission of the People's Republic of China, Beijing 100044, China
  • Received:2025-01-20 Published:2025-02-25 Online:2025-02-25
  • Contact: QIU Zhuoying, E-mail: qiutiger@hotmail.com;CHEN Di, E-mail: chendi@crrc.com.cn
  • Supported by:
    China Disabled Persons' Federation Project(24&BZA001);Shandong Key Research and Development Plan (Soft Science)(2023RZA01011);Shandong Key Research and Development Plan (Soft Science)(2023RZB01013);Medical Quality (Evidence-Based) Management Research Project of Hospital Management Research Institute, National Health Commission(YLZLXZ24G032);Central High Level Hospital Clinical Research Business Expenses(2022-PUMCH-A-223);the Fundamental Research Funds for Central Public Welfare Research Institutes, conducted by China Rehabilitation Science Institute(CRSI2024CZ-1);National Natural Science Foundation of China (General)(72374156)

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摘要：

目的 在世界卫生组织(WHO)全球数字健康战略框架下，系统分析全球数字康复的政策架构、标准体系和应用技术模式，并为数字康复的未来发展提出政策建议。

方法 系统分析WHO发布的与数字健康和康复发展相关的政策文件，重点包括《全球数字健康战略》《康复2030倡议》《健康服务体系中的康复》《健康服务体系中的康复：行动指南》《世界残疾报告》。探讨数字康复政策架构和核心内容，系统分析康复数字化的标准体系，深入探讨数字康复发展的关键技术模式。

结果 在全球健康和数字化转型的大背景下，发展数字康复服务已成为全球数字健康战略的重要组成部分。构建完善的数字康复政策框架和内容体系，对于加强康复数据治理、提高数据利用效率、保障数据隐私和安全至关重要。运用数字技术赋能康复，对于提升康复服务的标准化、有效性、覆盖率、质量和安全性具有重要意义。国际数字康复政策主要内容涉及：政策和治理、数字化标准体系、数据隐私、安全和伦理、数字化人才培养和能力建设以及数字赋能康复服务监测评估和持续性改进。康复数字化的标准体系涵盖WHO国际分类家族的3大参考分类，包括《国际疾病分类第十一次修订本》《国际功能、残疾和健康分类》《国际健康干预分类》，重点是《国际功能、残疾和健康分类》。国际数据互操作性标准、数据安全与隐私保护标准、数据质量与认证标准和卫生健康信息标准等。数字康复的应用技术模式主要包括：数据驱动的服务模式、人工智能赋能的模式，以及结合虚拟现实、增强现实技术和物联网支持的远程康复模式等。

结论 构建和实施完善的数字康复政策、标准和技术模式，是推动全球康复服务数字化转型和发展进步的关键。应在WHO全球数字健康战略框架下，构建适应性的数字康复政策架构，提升数字治理能力和水平，建立健全数字康复标准体系，促进康复数据和其他健康大数据的互联互通和融合应用。同时，积极发展数据驱动的康复服务技术模式，以全面提升康复服务的可及性、有效性、服务质量和安全性。

关键词: 数字康复, 康复数字化标准体系, 数字康复技术模式, 全球数字健康战略

Abstract:

Objective To systematically analyze the global policy framework, standard systems and application technology models of digital rehabilitation within the framework of the World Health Organization (WHO) Global Digital Health Strategy and propose policy recommendations for the future development of digital rehabilitation.

Methods Based on the policies on digital health and rehabilitation development issued by the WHO, focusing on the Global Digital Health Strategy, Rehabilitation 2030 Initiative, Rehabilitation in Health Systems, Rehabilitation in Health Systems: A Guide for Action, and World Report on Disability,a systematic review was conducted, to explore the policy architecture and core content of digital rehabilitation, the standard system for digitalizing rehabilitation, and key technological models for the development of digital rehabilitation.

Results In the context of global health and digital transformation, the development of digital rehabilitation services was an essential component of the global digital health strategy. Building a comprehensive policy framework and content system for digital rehabilitation was critical for strengthening rehabilitation data governance, enhancing data utilization efficiency, and ensuring data privacy and security. Empowering rehabilitation with digital technology was vital for improving the standardization, effectiveness, coverage, quality and safety of rehabilitation services. International digital rehabilitation policies primarily involved the following areas: policy and governance, digital standard systems, data privacy, security and ethics, digital talent cultivation and capacity building, and monitoring, evaluation and continuous improvement of digitally empowered rehabilitation services. The standard system for rehabilitation digitization covered the three major reference classifications of the WHO Family of International Classifications, including International Classification of Diseases Eleventh Revision (ICD-11), International Classification of Functioning, Disability and Health (ICF), and International Classification of Health Interventions (ICHI), especially ICF. It also included international data interoperability standards, data security and privacy protection standards, data quality and certification standards, and health information standards, etc. The application technology models of digital rehabilitation primarily included data-driven service models, artificial intelligence -enabled models, and remote rehabilitation models combined with virtual reality, augmented reality technologies, and Internet of Things support.

Conclusion The establishment and implementation of comprehensive policies, standards and technological models for digital rehabilitation are crucial for driving the digital transformation and development of global rehabilitation services. Under the framework of the WHO Global Digital Health Strategy, it is necessary to build adaptive digital rehabilitation policy frameworks, and enhance digital governance capabilities and levels, establishing and improving digital rehabilitation standard systems, and promoting the interoperability and integration of rehabilitation data with other health big data. Meanwhile, it is essential to actively develop data-driven technological models for rehabilitation services to comprehensively improve the accessibility, availability, quality and safety of rehabilitation services.

Key words: digital rehabilitation, digital rehabilitation standard system, digital rehabilitation technology models, global digital health strategy

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