Atrial fibrillation patient management platform
By building a digital grid-based atrial fibrillation patient management platform, the problem of managing atrial fibrillation patients in rural areas has been solved, achieving efficient screening, standardized management, and individualized treatment, reducing disability and mortality rates, and providing a basis for policy formulation.
Patent Information
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- THE THIRD PEOPLES HOSPITAL OF CHENGDU
- Filing Date
- 2026-03-12
- Publication Date
- 2026-07-03
AI Technical Summary
In rural areas, atrial fibrillation patients have weak awareness of prevention and control, are difficult to manage, lack management models with local characteristics, and have scarce medical resources, resulting in low screening, diagnosis and treatment rates, and high disability and mortality rates.
A digital grid-based atrial fibrillation patient management platform will be constructed, including an atrial fibrillation screening module, a platform optimization module, a system operation module, and a cohort construction module. Through routine screening, information management, multiple outpatient follow-ups, shared decision-making between doctors and patients, and data analysis, efficient and standardized atrial fibrillation management will be achieved.
It has improved the screening and diagnosis rates for atrial fibrillation patients, reduced the disability and mortality rates, enhanced management levels, and formed a management model with local characteristics, providing a scientific basis for policy formulation.
Smart Images
Figure CN122337516A_ABST
Abstract
Description
Technical Field
[0001] This invention relates to the field of intelligent management methods, and more specifically to a management platform for atrial fibrillation patients. Background Technology
[0002] Atrial fibrillation (AF) is a type of rapid cardiac arrhythmia that poses a significant threat to cardiovascular and cerebrovascular diseases due to its high rates of disability and death.
[0003] Due to factors such as insufficient public awareness of healthcare and uneven quality of medical services in rural areas, atrial fibrillation patients have weak awareness of prevention and control, making their management difficult. Therefore, exploring a management model suitable for atrial fibrillation patients in rural areas has become an important issue that urgently needs to be addressed.
[0004] Currently, the country attaches great importance to the optimal allocation of medical and health resources and the improvement of primary healthcare service capabilities, and has put forward a series of policies and measures aimed at promoting the homogenization of medical standards in urban and rural areas. Against this backdrop, utilizing the "Internet + Healthcare" model to build a digital grid-based atrial fibrillation patient management platform has become a new approach to achieving homogenized and precise management of atrial fibrillation patients.
[0005] However, there is still a significant gap in the management of atrial fibrillation at the grassroots level in western my country, with a lack of locally distinctive atrial fibrillation management models.
[0006] To address the aforementioned issues, the applicant proposed a management platform for atrial fibrillation patients. Summary of the Invention
[0007] The purpose of this invention is to provide a management platform for atrial fibrillation patients to solve the problems in the prior art.
[0008] To achieve the above objectives, the present invention provides the following technical solution: an atrial fibrillation patient management platform, the platform comprising:
[0009] The atrial fibrillation screening module is used to conduct routine opportunistic screening for atrial fibrillation in elderly patients in rural areas. Patients diagnosed with atrial fibrillation are immediately incorporated into a digital grid-based atrial fibrillation management unit, and high-risk atrial fibrillation patients receive systematic health education and multiple opportunistic screenings.
[0010] The platform optimization module is used to create digital data for high-risk atrial fibrillation patients, enabling grid-based and information-based management to facilitate efficient management and tracking of patient information.
[0011] The C-system operation module, piloted at the secondary hospital level, implements comprehensive "prevention-management-treatment" management for atrial fibrillation patients, including:
[0012] The "prevention" module includes raising residents' awareness of the causes of atrial fibrillation through lectures, broadcasts, and other means, and enhancing their awareness of timely intervention for patients diagnosed with atrial fibrillation in the early stages.
[0013] The "management" module includes enhanced management and intervention for diagnosed atrial fibrillation patients or people susceptible to atrial fibrillation based on a digital grid management platform, and strengthened management and control of atrial fibrillation patients through multiple outpatient "call-backs" and telephone follow-ups;
[0014] The "Treatment" module includes a digital grid management platform that enables doctors and patients to jointly formulate clinical treatment decisions, including local treatment, referral to higher-level hospitals, atrial fibrillation catheter ablation therapy, and co-construction of outpatient treatment plans. It also promotes standardized outpatient atrial fibrillation management for patients, including functions such as medication check-in, symptom monitoring check-in, quality of life evaluation, adverse event reporting, follow-up visit reminders, and online doctor-patient communication.
[0015] The d-cohort construction module is used to integrate cross-sectional and longitudinal follow-up data of patients in the digital system for data statistics and analysis, in order to develop individualized solutions to optimize the management of local atrial fibrillation patients.
[0016] Optionally, the platform also includes:
[0017] The e-Doctor-Patient "Decision Sharing" function allows doctors and patients to jointly make clinical treatment decisions, promoting the personalization and effectiveness of treatment plans;
[0018] f. Data synchronization and sharing functions ensure that hospitals at all levels can share relevant information about atrial fibrillation patients in real time, achieving standardized management;
[0019] The policy guidance and feedback mechanism, based on the data and analysis results collected by the platform, will compile a research report on the management path of the entire course of atrial fibrillation and submit it to the higher-level government departments for targeted adjustments and policy formulation.
[0020] Optionally, the platform is particularly suitable for the management of atrial fibrillation patients in rural areas of Chengdu, and can significantly improve the screening rate, diagnosis rate, treatment rate and management level of atrial fibrillation patients, and reduce the risk of atrial fibrillation-related stroke, heart failure and sudden death.
[0021] Beneficial effects: Atrial fibrillation (AF), a type of rapid cardiac arrhythmia, poses a significant threat to cardiovascular and cerebrovascular diseases due to its high rates of disability and mortality. With the accelerating aging of the population, the prevalence of AF in the elderly population has increased significantly, especially in rural areas where the prevention and management of AF patients face severe challenges due to relatively scarce medical resources.
[0022] my country has a large elderly population in rural areas, and the aging process is accelerating, creating a demographic foundation for the accumulation of chronic diseases. At the same time, due to insufficient public awareness of healthcare and uneven quality of medical services in rural areas, atrial fibrillation patients have weak awareness of prevention and control, making management difficult. Therefore, exploring a suitable management model for atrial fibrillation patients in rural areas has become an important and urgent issue to be addressed.
[0023] Currently, the country attaches great importance to the optimal allocation of medical and health resources and the improvement of primary healthcare service capabilities, and has put forward a series of policies and measures aimed at promoting the homogenization of medical standards in urban and rural areas. Against this backdrop, utilizing the "Internet + Healthcare" model to build a digital grid-based atrial fibrillation patient management platform has become a new approach to achieving homogenized and precise management of atrial fibrillation patients.
[0024] However, there is still a significant gap in the management of atrial fibrillation (AF) at the grassroots level in western my country, lacking a locally tailored AF management paradigm. Therefore, this invention aims to construct a digital grid-based AF patient management platform tailored to the specific conditions of rural areas in Chengdu. This platform will provide concrete application scenarios and implementation steps for AF management among the elderly in rural areas, with the goal of forming a rural chronic disease management system with Chengdu characteristics and providing a model for other regions to learn from. Attached Figure Description
[0025] Figure 1 This is a schematic diagram of an embodiment of the present invention; Detailed Implementation
[0026] The preferred embodiments of the present invention are described below with reference to the accompanying drawings to make the technical content clearer and easier to understand. The present invention can be embodied in many different forms, and the scope of protection of the present invention is not limited to the embodiments mentioned herein.
[0027] In the accompanying drawings, components with the same structure are indicated by the same numerical designation, and components with similar structures or functions are indicated by similar numerical designations. The dimensions and thicknesses of each component shown in the drawings are arbitrary, and the present invention does not limit the dimensions and thicknesses of each component. To make the illustrations clearer, the thickness of some components has been appropriately exaggerated in the drawings.
[0028] Example 1
[0029] Atrial fibrillation (AF), a significant component of cardiovascular and cerebrovascular diseases, has become a major challenge for global healthcare systems due to its high rates of disability and mortality. Particularly in my country, with the increasing aging population, the number of AF patients is rising, and the prevention and management of elderly AF patients in rural areas is particularly prominent due to relatively scarce medical resources. Therefore, this research team proposes to construct a digital grid-based AF patient management platform, aiming to improve the prevention and management of AF patients in rural areas through technological means, achieve standardized medical services, and provide a scientific basis for government policy formulation.
[0030] This technical solution aims to develop a digital grid-based atrial fibrillation patient management platform. This platform integrates functions across four dimensions: atrial fibrillation screening, platform optimization, system operation, and cohort construction, to achieve comprehensive, systematic, and efficient management of atrial fibrillation patients. The specific solution is as follows:
[0031] Screening subjects
[0032] This program primarily targets elderly residents in rural areas for atrial fibrillation screening. Elderly patients are the main group affected by atrial fibrillation, and given the relative scarcity of medical resources in rural areas, focusing the screening on elderly residents in rural areas helps to identify and manage atrial fibrillation patients in a timely manner, reducing their disability and mortality rates.
[0033] Screening methods
[0034] Opportunistic screening for atrial fibrillation is conducted routinely based on the annual government-led rural public health check-up program. Atrial fibrillation screening is added to the check-up program, using portable electrocardiogram (ECG) devices or smart wearable devices for screening. Patients diagnosed with atrial fibrillation are immediately incorporated into a digital grid-based atrial fibrillation management unit.
[0035] For high-risk atrial fibrillation patients, such as those with a history of chronic diseases like hypertension and diabetes, multiple opportunistic screenings should be conducted to improve the accuracy and sensitivity of the screening.
[0036] Screening data management
[0037] Establish an atrial fibrillation screening database to centrally manage and analyze screening results. Data analysis can reveal the distribution and characteristics of atrial fibrillation patients, providing a basis for subsequent prevention and management.
[0038] Digital data creation
[0039] A digital profile is created for each diagnosed atrial fibrillation patient, including basic information, medical history, and test results. This digital profile facilitates comprehensive, systematic, and efficient management of patient information, providing convenience for subsequent treatment and follow-up.
[0040] Grid-based and information-based management
[0041] Patients with atrial fibrillation are managed in a grid-based system based on factors such as geographical location and severity of their condition. Each grid is assigned one or more village doctors as grid administrators, responsible for the daily management and follow-up of patients with atrial fibrillation within their grid.
[0042] Through information technology, real-time updates and sharing of patient information within the grid can be achieved. Grid administrators can view patient information and perform follow-up records through a mobile app or computer platform.
[0043] Platform function optimization
[0044] Based on actual needs, the platform's functions are continuously optimized. For example, a patient health education module has been added, providing popular science articles, videos, and other resources related to atrial fibrillation; a doctor-patient communication module has been added to facilitate online consultations and exchanges between doctors and patients; and a data analysis module has been added to conduct in-depth mining and analysis of platform data, providing a scientific basis for prevention and management.
[0045] Pilot selection
[0046] A secondary-level hospital will be selected as a pilot unit in a rural area of Chengdu to establish a comprehensive management system for the prevention, management, and treatment of atrial fibrillation patients. The pilot unit should have complete medical facilities and a professional medical team capable of undertaking the screening, diagnosis, and treatment of atrial fibrillation patients.
[0047] Primary prevention
[0048] Through lectures, broadcasts, and other means, we aim to increase residents' awareness of the causes of atrial fibrillation and enhance their awareness of timely intervention for patients diagnosed with atrial fibrillation early. The main purpose of primary prevention is to reduce the incidence and disability rate of atrial fibrillation and improve the health of residents.
[0049] Secondary prevention
[0050] A secondary prevention system for atrial fibrillation will be established in pilot units to systematically manage and follow up diagnosed atrial fibrillation patients. Through regular follow-ups and health education, the recurrence rate and complication rate of atrial fibrillation will be reduced.
[0051] Based on a digital grid management platform, enhanced management and intervention are implemented for diagnosed atrial fibrillation patients or individuals susceptible to atrial fibrillation within the system. Through multiple outpatient call-backs and telephone follow-ups, the management of atrial fibrillation patients is strengthened, improving patient compliance and treatment outcomes.
[0052] A digital grid management platform enables standardized services for atrial fibrillation patients. Whether in pilot units or primary healthcare facilities, the platform allows access to patient information and treatment recommendations, ensuring consistent service quality and treatment outcomes across different healthcare institutions.
[0053] The data is statistically analyzed by integrating cross-sectional and longitudinal follow-up data of patients from the digital system. Cross-sectional data includes basic patient information, medical history, and examination results; longitudinal follow-up data includes patient follow-up records and treatment status.
[0054] The integrated data was analyzed in depth using statistical methods and data mining techniques. This analysis revealed patterns in the onset of atrial fibrillation and treatment outcomes, providing a scientific basis for subsequent prevention and management.
[0055] Based on the data analysis results, individualized management plans were developed to optimize the management of atrial fibrillation patients in the local area. These individualized plans should be tailored to each patient's specific circumstances and include treatment plans and follow-up schedules. Implementing these individualized plans can improve patients' treatment outcomes and quality of life.
[0056] This technical solution aims to achieve the following expected results:
[0057] Increase atrial fibrillation screening rate
[0058] By conducting routine opportunistic screening for atrial fibrillation, we can increase the screening rate of atrial fibrillation patients, identify and manage them in a timely manner, and reduce their disability and mortality rates.
[0059] By using a digital grid management platform, we can achieve standardized services for patients with atrial fibrillation, ensuring that the quality of services and treatment outcomes received by patients in different medical units remain consistent.
[0060] Improving patient compliance
[0061] By strengthening management intervention and building a digital grid management platform for "decision sharing" between doctors and patients, we can improve patient compliance and treatment effectiveness, and reduce the recurrence rate and complication rate of atrial fibrillation patients.
[0062] Provide a basis for policy making
[0063] Data analysis helps us understand the patterns of atrial fibrillation, treatment outcomes, and other information, providing a scientific basis for the government to formulate relevant policies and promoting the in-depth development of atrial fibrillation prevention and management.
[0064] Clearly define project objectives, task assignments, and timelines; develop detailed project plans and implementation schemes.
[0065] Training on platform usage was provided to medical staff in pilot units to ensure they were proficient in its functions and operation. Simultaneously, public awareness and understanding of atrial fibrillation prevention and management were enhanced through publicity and promotional activities.
[0066] In pilot units, we will carry out atrial fibrillation screening, platform optimization, system operation and cohort construction, collect relevant data and information, and conduct effect evaluation and optimization adjustments.
[0067] This technical solution achieves comprehensive, systematic, and efficient management of atrial fibrillation (AF) patients by constructing a digital grid-based AF patient management platform. Through the implementation of functions across four dimensions—AF screening, platform optimization, system operation, and cohort construction—it has improved AF screening rates, achieved standardized services, enhanced patient compliance, formed a distinctive management model, and provided a scientific basis for policy formulation. The implementation of this technical solution will help improve the prevention and management of AF patients in rural areas, reduce their disability and mortality rates, and provide a scientific basis and reference for government policy-making. Simultaneously, the successful implementation of this technical solution will also provide valuable experience and models for other regions, promoting the in-depth development of AF prevention and management.
[0068] The foregoing has shown and described the basic principles, main features, and advantages of the present invention. It will be apparent to those skilled in the art that the invention is not limited to the details of the exemplary embodiments described above, and that the invention can be implemented in other specific forms without departing from its spirit or essential characteristics. Therefore, the embodiments should be considered illustrative and non-limiting in all respects, and the scope of the invention is defined by the appended claims rather than the foregoing description. Thus, all variations falling within the meaning and scope of equivalents of the claims are intended to be included within the scope of the invention. No reference numerals in the claims should be construed as limiting the scope of the claims.
[0069] Furthermore, it should be understood that although this specification describes embodiments, not every embodiment contains only one independent technical solution. This narrative style is merely for clarity. Those skilled in the art should consider the specification as a whole, and the technical solutions in each embodiment can also be appropriately combined to form other embodiments that can be understood by those skilled in the art.
Claims
1. A management platform for atrial fibrillation patients, characterized in that, The platform includes: The atrial fibrillation screening module is used to conduct routine opportunistic screening for atrial fibrillation in elderly patients in rural areas. Diagnosed atrial fibrillation patients are immediately incorporated into a digital grid-based atrial fibrillation management unit, and high-risk atrial fibrillation patients receive systematic health education and multiple opportunistic screenings. The platform optimization module is used to create digital data for high-risk atrial fibrillation patients, enabling grid-based and information-based management to facilitate efficient management and tracking of patient information. The C-system operation module, piloted at the secondary hospital level, implements comprehensive "prevention-management-treatment" management for atrial fibrillation patients, including: The "prevention" module includes raising residents' awareness of the causes of atrial fibrillation through lectures, broadcasts, and other means, and enhancing their awareness of timely intervention for patients diagnosed with atrial fibrillation in the early stages. The "management" module includes enhanced management and intervention for diagnosed atrial fibrillation patients or people susceptible to atrial fibrillation based on a digital grid management platform, and strengthened management and control of atrial fibrillation patients through multiple outpatient "call-backs" and telephone follow-ups; The "Treatment" module includes a digital grid management platform that enables doctors and patients to jointly formulate clinical treatment decisions, including local treatment, referral to higher-level hospitals, atrial fibrillation catheter ablation therapy, and co-development of outpatient treatment plans. It also promotes standardized outpatient atrial fibrillation management for patients, including functions such as medication attendance tracking, symptom monitoring tracking, quality of life evaluation, adverse event reporting, follow-up visit reminders, and online doctor-patient communication.
2. The atrial fibrillation patient management platform according to claim 1, characterized in that, The d-cohort construction module is used to integrate cross-sectional and longitudinal follow-up data of patients in the digital system for data statistics and analysis, in order to develop individualized solutions to optimize the management of local atrial fibrillation patients. The "e-Doctor-Patient Decision Sharing" function allows doctors and patients to jointly make clinical treatment decisions, promoting the personalization and effectiveness of treatment plans; f. Data synchronization and sharing functions ensure that hospitals at all levels can share relevant information about atrial fibrillation patients in real time, achieving standardized management; The policy guidance and feedback mechanism, based on the data and analysis results collected by the platform, will compile a research report on the management path of the entire course of atrial fibrillation and submit it to the higher-level government departments for targeted adjustments and policy formulation.
3. The atrial fibrillation patient management platform according to claim 1 or 2, characterized in that, This platform is particularly suitable for the management of atrial fibrillation patients in rural areas of Chengdu. It can significantly improve the screening rate, diagnosis rate, treatment rate and management level of atrial fibrillation patients, and reduce the risk of atrial fibrillation-related stroke, heart failure and sudden death.