Chronic disease managementIntroduction

    Provide users with comprehensive platform services such as autonomous intelligent health evaluation, health consultation, health education, and health management
    Chronic disease management refers to regular testing of chronic diseases and their risk factors; Continuous monitoring,‌ Evaluation and comprehensive intervention management of medical behaviors and processes& zwnj; Its main connotations include early screening of chronic diseases; Risk prediction,‌ Early warning and comprehensive intervention,‌ And comprehensive management of chronic disease populations; Effect evaluation, etc& zwnj; The impact of chronic disease management on patients and society is profound; Therefore, its importance cannot be ignored& zwnj; Through active management,‌ Can control the progression of diseases,‌ Relieve symptoms,‌ Prevent complications,‌ Reduce medical expenses,‌ Improve the quality of life& zwnj;
    The methods of chronic disease management include biomedical monitoring; Medication and monitoring patients' adherence to medical orders,‌ Simultaneously including psychological intervention and social environment intervention& zwnj; Psychological intervention changes patients' perception of diseases and subsequently their behavior through health education; And social environment intervention involves group work methods; Community work methods and policy evaluation methods, etc; To promote personal problem-solving and social change& zwnj;
    In practical operation,‌ The general practitioner team is responsible for the prevention and control of chronic diseases in the community; Establish resident health records,‌ Implement graded follow-up management based on the severity of the disease& zwnj; For high-risk and diseased populations; Take proactive intervention and regular monitoring,‌ To detect diseases early and control their progression& zwnj; The Chronic Disease Management Center of the hospital establishes electronic health records and; Classify and manage patients,‌ Post discharge management,‌ Data collection and analysis,‌ The dissemination of health science popularization knowledge,‌ And establish a chronic disease network both inside and outside the hospital,‌ Realize the tracking and service of the entire health process of chronic disease population& zwnj;

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      Provide users with comprehensive platform services such as autonomous intelligent health evaluation, health consultation, health education, and health management
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