Chest pain management: Life and health pathway optimization

Abstract

This article on chest pain management focuses on optimizing life and health pathways from the management research perspective instead of from medical study. This approach prioritizes prevention and identification over emergency diagnosis and treatment and provides a feasible theoretical method for establishing effective chest pain management in China. Chest pain management began early in developed countries, and research progress can be analyzed from the dimensions of time, space, and resources. As the Internet of things develops, telemedicine technologies are increasingly used to predict, evaluate, and explore, the factors affecting patient survival rates in depth. Continuous optimization methods have become a new research trend. Practical evidence has proven that the reasonable allocation and timely scheduling of resources can improve the survival rate of patients, especially first medical contact (FMC) resources, which are now receiving additional attention. Compared with developed countries, chest pain management in China still faces great challenges, including: (1) A lack of resources, especially FMC resources; (2) multiobjective conflict: The coexistence of overtreatment and insufficient treatment; (3) multistage delay: Most high-risk patients fail to be treated in time; (4) multipath selection: A lack of decision support; (5) multiagent participation: A lack of effective connection; (6) multisystem data: Isolated barriers for links; and (7) coexistence of multiple modes: Lack of management consistency. Combining the development background of chest pain management with the current challenges in China, this article proposes an optimized path for chest pain management, including high-risk recognition, reasonable resource allocation, effective scheduling decision-making, and dynamic pretargeted control. To describe the process changes from chest pain to sudden death and the effect of optimization, a typical multistage survival curve model based on the research results of the relevant literature is constructed to explore effective strategies and organizational methods. Chest pain management should be aimed at preventing acute cardiovascular events, such as sudden cardiac death in high-risk patient groups, reducing mortality, maintaining survival level, and setting the optimization space for management breadth and intensity. The application of new technologies such as "Internet +" should be strengthened to expand the scope and increase the intensity of management. With the application of technologies, such as the Internet of things, telemedicine, and big data, the accessibility of FMC should be further improved, which will break the limitations of the "chest pain map" that only includes the distribution map of the chest pain center and then maps the time and space distribution of patients. The "chest pain map" should integrate knowledge maps, online and offline resource maps, and scheduling maps. Effective chest pain management will provide a feasible method: Optimization of life and health pathways. In summary, facing the high risk of frequent sudden cardiac deaths, China should expand coverage and improve the response ability of FMC, as well as optimize and innovate "Internet +" chest pain management to improve the capabilities of high-risk chest pain early warnings and prehospital first aid, thereby fundamentally increasing both treatment and survival rates.