Nakashima Naoki, Kobayashi Kunihisa, Inoguchi Toyoshi, Nishida Daisuke, Tanaka Naomi, Nakazono Hiromi, Hoshino Akihiko, Soejima Hidehisa, Takayanagi Ryoichi, Nawata Hajime
Department of Medical Informatics, Kyushu University Hospital, Japan.
Stud Health Technol Inform. 2007;129(Pt 2):1174-8.
We started a disease management model, Carna, that includes two programs: one for primary prevention of lifestyle diseases and one for secondary/tertiary prevention of diabetes mellitus. These programs support the family doctor system and education for participants to allow the concept of disease management to take root in Japan. We developed a critical pathway system that can optimize health care of individual participants by matching individual status. This is the core technology of the project. Under the primary prevention program, we can perform the health check-up/ instruction tasks in the 'Tokutei Kenshin', which will start for all Japanese citizens aged 40-74 years in April 2008. In the diabetic program, Carna matches doctors and new patients, prevents patient dropout, supports detection of early-stage complications by distributing questionnaires periodically, and facilitates medical specialists' cooperation with family doctors. Carna promotes periodic medical examinations and quickly provides the result of blood tests to patients. We are conducting a study to assess the medical outcomes and business model. The study will continue until the end of 2007.
我们启动了一个疾病管理模式——卡娜（Carna），它包括两个项目：一个是针对生活方式疾病的一级预防项目，另一个是针对糖尿病的二级/三级预防项目。这些项目支持家庭医生体系，并对参与者进行教育，以使疾病管理的理念在日本落地生根。我们开发了一个关键路径系统，该系统可以通过匹配个体状况来优化个体参与者的医疗保健。这是该项目的核心技术。在一级预防项目下，我们可以在“特定健诊”中执行健康检查/指导任务，“特定健诊”将于2008年4月面向所有40 - 74岁的日本公民启动。在糖尿病项目中，卡娜（Carna）为医生和新患者进行匹配，防止患者中途退出，通过定期分发问卷来支持早期并发症的检测，并促进医学专家与家庭医生的合作。卡娜（Carna）促进定期体检，并迅速将血液检测结果提供给患者。我们正在进行一项研究以评估医疗成果和商业模式。该研究将持续到2007年底。
