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健康指数概念及理论模型
引用本文:迟蔚蔚.健康指数概念及理论模型[J].中华疾病控制杂志,2022,26(10):1118-1123.
作者姓名:迟蔚蔚
作者单位:250002 济南, 山东健康医疗大数据管理中心
基金项目:国家重点研发计划2020YFC2003500
摘    要:  目的  建立健康指数的理论模型及范式,构建健康指数的理论方法体系,为健康指数构建提供一般性、普适性的理论依据。  方法  针对健康指数构建中的瓶颈问题,在健康决定因素模型、社会生态模型、星球健康模型、人口健康模型和同一健康模型指导下,创建健康指数的理论模型及范式。  结果  构建了融现实世界社会生态模型和虚拟世界社会生态模型为一体的广义健康指数模型(generalized health index model,GHIM)。基于GHIM发展了包含“广义健康决定因素域、健康指数域、目标导向域、技术流程栈”的健康指数理论范式。  结论  所创建的健康指数理论模型及范式,为构建不同领域或层级的健康指数提供了一般性、普适性的理论模型及范式。

关 键 词:健康指数    理论模型和范式    广义健康指数模型
收稿时间:2022-08-03

Concept and theoretical model of health index
Institution:National Administration of Health Data, Jinan 250002, China
Abstract:  Objective  To establish the theoretical model and paradigm of the health index, construct a theoretical and methodological system of health index, and provide a general and universal theoretical basis for construction of the health index.  Methods  To address the bottlenecks in construction of health index, the theoretical model and paradigm of health index were created under the guidance of the health determinants model, social ecological model, planetary health model, population health model, and one health model.  Results  The generalized health index model (GHIM), which integrated the real world social ecological model and the virtual world social ecological model, was constructed. Based on GHIM, a health index theoretical paradigm was developed, which included a "generalized health determinants domain, health index domain, goal-oriented domain, and technical process stack".  Conclusion  The theoretical model and paradigm of health index created in this model provides a general and universal theoretical model and paradigm for constructing a health index for different domain or tier.
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