“三高共管六病同防”慢性病管理新模式有何神奇？

三高共管六病同防管理涉及范围较广，现在行业内标准是一套平台、全县融合。“三高共管六病同防管理平台”，实现公共卫生系统、家庭医生签约系统、老年人体检系统、基层医生APP系统、三高共管六病同防管理平台（包含大屏展示）、基层医疗系统的一体化，构建医防融合公卫信息化，提升公共卫生服务效果。

The management of three highs and six diseases involves a wide range of scope, and now the industry standard is a set of platforms and county wide integration. The "Three Highs Co management and Six Diseases Co prevention Management Platform" integrates the public health system, family doctor signing system, elderly physical examination system, grassroots doctor APP system, three highs co management and six diseases co prevention management platform (including large screen display), and grassroots medical system to build a medical prevention integration public health information system and improve the effectiveness of public health services.

区域医疗资源的整合重塑

Integration and reshaping of regional medical resources

项目的建设，可实现将区域内人民医院、中医院、基层乡镇卫生院、社区医疗服务中心及各村卫生室连成一体，进一步完善基层医疗卫生服务体系，提高区域医疗卫生资源配置和使用效率，加快提升基层医疗卫生服务能力，推动构建分级诊疗、合理诊治和有序就医新秩序。打造基层一体化信息平台，实现区域内居民的全生命周期的健康管理。推进分级诊疗，着力“上级医院不肯放，下级医院接不住，人民群众往上挤”等问题，明确各级各类医疗机构功能定位，避免上下医院各自为阵，互相争人才、抢病源，促进资源下沉，让大医院有动力、基层医院有能力、患者有意愿。助力各级医疗机构建设慢病管理，医防融合，三高共管六病同防等，让百姓在家门口就能享受到智慧化、多元化、个性化的健康服务。

The construction of the project can achieve the integration of people's hospitals, traditional Chinese medicine hospitals, grassroots township health centers, community medical service centers, and village clinics in the region, further improve the grassroots medical and health service system, improve the allocation and utilization efficiency of regional medical and health resources, accelerate the improvement of grassroots medical and health service capabilities, and promote the construction of a new order of hierarchical diagnosis and treatment, reasonable diagnosis and treatment, and orderly medical treatment. Build a grassroots integrated information platform to achieve full lifecycle health management for residents in the region. Promote graded diagnosis and treatment, focus on solving problems such as "higher-level hospitals refusing to let go, lower level hospitals unable to connect, and the people pushing upwards", clarify the functional positioning of medical institutions at all levels and types, avoid each hospital competing for talent and disease sources, promote the sinking of high-quality resources, and make large hospitals motivated, grassroots hospitals capable, and patients willing. Assist medical institutions at all levels in the construction of chronic disease management, medical prevention integration, three highs co management and six diseases co prevention, etc., so that people can enjoy intelligent, diversified, and personalized health services at their doorstep.

医防融合 分级诊疗

Integrated diagnosis and treatment of medical and preventive measures

区域内，市级、区县级、乡镇级医院就诊患者中，若发现三高患者可自动同步到公共卫生或三高共管六病同防管理平台中，实现数据的实时，定向同步，医生登录相关平台可实现对同步数据的关注，进行无间断、连续化、规范化管理。

Within the region, if patients with the three highs are found in hospitals at the city, district, and township levels, they can be automatically synchronized to public health or the three highs co management and six diseases co prevention management platform, achieving real-time and targeted synchronization of data. Doctors can log in to relevant platforms to pay close attention to synchronized data and carry out uninterrupted, continuous, and standardized management.

医防融合可借助远程诊疗设备

Medical and preventive integration can be achieved through remote diagnostic and treatment equipment

现阶段伴随着物联网的发展，使用物联网智能血压计、血糖仪、智能腕表，子女或医生可在微信公众号实时关注慢性病患者每天的血压、血糖数据，并实现数据自动推送。家庭自测难题、远程医疗滞后性、子女关怀的痛点！

At this stage, with the development of the Internet of Things, children or doctors can follow the daily blood pressure and blood sugar data of patients with chronic diseases in real time on WeChat official account and automatically push the data by using the Internet of Things intelligent sphygmomanometer, blood glucose meter and smart wrist watch. Solve the problem of family self-test, address the lag of remote medical care, and address the pain points of caring for children!

远程监控管理为医防监控管理核心，是行业发展趋势，三件套方案，真正做到慢病管理的全周期应用

Remote monitoring management is the core of medical prevention and control monitoring management, which is an industry development trend. With a three piece solution, it truly achieves the full cycle application of chronic disease management

远程检测手段是三高中重要一环

Remote detection methods are an important part of the three highs

相信通过科技的进步，信息技术的发展，越来越多的慢性病人群也能管理控制好并发症的发生，做到老有所乐，无病痛折磨的安度晚年。

I believe that with the advancement of technology and the development of information technology, more and more chronic patients can also manage and control the occurrence of complications, achieving a comfortable and painless old age.

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