Exploring the integration of medical and preventive chronic disease health management in the context of big data

Yueyang Wang ^1,2 Ruigang Deng ¹ Xinyu Geng ^2*

• ¹ Office of Medical Defense Integration, Fourth People's Hospital of Sichuan Province, Chengdu, Sichuan Province, China
• ² School of Computer Science and Software Engineering, Southwest Petroleum University, Chengdu, Sichuan Province, China

Chronic non-communicable diseases (NCDs) pose a significant global health burden, exacerbated by aging populations and fragmented healthcare systems. This study employs a comprehensive literature review method to systematically evaluate the integration of medical and preventive services for chronic disease management in the context of big data, focusing on pre- hospital risk prediction, in- hospital clinical prevention, and post- hospital follow- up optimization. Through synthesizing existing research, we propose a novel framework that includes the development of machine learning models and interoperable health information platforms for real- time data sharing. The analysis reveals significant regional disparities in implementation efficacy, with developed eastern regions demonstrating advanced closed- loop management via unified platforms, while western rural areas struggle with manual workflows and data fragmentation. The integration of explainable AI (XAI) and blockchain- secured care pathways enhances clinical decisionmaking while ensuring GDPR- compliant data governance. The study advocates for phased implementation strategies prioritizing data standardization, federated learning architectures, and community- based health literacy programs to bridge existing disparities. Results show a 30- 35% reduction in redundant diagnostics and a 15- 20% risk mitigation for cardiometabolic disorders through precision interventions, providing a scalable roadmap for resilient public health systems aligned with the "Healthy China" initiative.