慢病管理的院后随访系统有哪些？

Chronic diseases are public health problems threatening human health, including hypertension, diabetes, stroke, coronary heart disease pressure, etc. They are common chronic diseases with high incidence rate, high mortality, high disability rate, low awareness rate, low control rate, and low treatment rate. "Prevention outweighs treatment in chronic disease management. However, in some remote areas, villagers themselves do not pay enough attention, inspection is troublesome, and it is difficult to see a doctor. In addition, due to the lack of resources for doctors, the prevalence of chronic diseases is on the rise, and the patient base is also expanding.". Conventional chronic disease management mainly relies on patient self testing, and there are many problems such as non-standard operation, aging equipment, forgotten measurement, irregular measurement time, and lack of long-term records, which make it difficult to effectively implement chronic disease management. However, it is time-consuming and costly to register and queue up for hospital inspections. Therefore, many patients with chronic diseases gradually have to "ignore chronic diseases".

近两年，随着对基层医疗的重视与投入，分级诊疗体系逐步建设深入，各大社区卫生服务中心正在逐步建立慢病管理制度，建立社区慢病防治网络，对社区高危人权和慢病定期筛查，掌握病患情况，建立信息档案库，同时对人群慢病分类监测、登记。不少地区的村医、家庭医生建立了慢病随访制度，定期上门诊疗，为健康促进和干预提供良好基础。

In the past two years, with the attention and investment of the country in primary health care, the hierarchical diagnosis and treatment system has gradually deepened. Major community health service centers are gradually establishing a chronic disease management system, establishing a community chronic disease prevention network, regularly screening high-risk human rights and key chronic diseases in the community, grasping the situation of patients, establishing an information archive, and classifying, monitoring, and registering key chronic diseases in the population. Village doctors and family doctors in many regions have established a follow-up system for chronic diseases, providing regular on-site diagnosis and treatment, providing a good foundation for health promotion and intervention.

公共卫生随访设备，便携易用，为村医、家庭医生等打通慢病管理初的百米，随时随地进行基础健康数据快速检测及收集，同时生成健康管理档案，让慢病患者都能享受到快捷的健康管理服务，提高医护人员工作效率。

Public health follow-up equipment is portable and easy to use, providing village doctors, family doctors, and others with the initial 100 meters of chronic disease management. It can quickly detect and collect basic health data anytime, anywhere, and generate health management files, enabling patients with chronic diseases to enjoy fast health management services, improving the work efficiency of medical personnel.

检测结果可上传上正华瑞健康管理云平台，便于慢病管理及院外管控。有效助力慢病管理公共卫生随诊包，具有无线数据传输功能，便于收集各项健康检测生理参数，生成健康评估报告并建立健康管理档案，集数据收集、健康分析、电子病历为一体，便于医护工作人员及时给慢病患者提供健康管理建议，有效协助院外慢病干预及慢病健康管理。

The test results can be uploaded to the Shangzheng Huarui Health Management Cloud Platform to facilitate chronic disease management and out-of-hospital control. Effectively assist in the management of chronic diseases. The public health follow-up package has a wireless data transmission function, facilitating the collection of various physiological parameters for health testing, generating health assessment reports, and establishing health management archives. It integrates data collection, health analysis, and electronic medical records, facilitating medical staff to provide timely health management advice to patients with chronic diseases, and effectively assisting in the intervention and health management of chronic diseases outside the hospital.

地方卫计委：公卫服务、统计分析、对管辖设备和医生进行排班、管理、监督指导。对辖区居民健康档案进行管理分析，实现上下转诊、急慢分治等管理全科医生：居民健康管理、健康档案：对居民进行健康建档、档案管理：根据居民情况制定随访计划、慢病管理计划、孕产健康管理计划等

Local Health and Family Planning Commission: public health services, statistical analysis, scheduling, management, supervision and guidance of equipment and doctors under its jurisdiction. Manage and analyze the health records of residents in the jurisdiction, and achieve management such as referral, emergency and chronic treatment. General practitioners: residents' health management, health records: establish health records for residents, file management: develop follow-up plans, chronic disease management plans, maternal and maternal health management plans, etc. based on the situation of residents

更多的关于慢病随访管理系统问题或者详细的内容，请进入我们公司的网站：//qdclab.com网站中会有很多的内容仅供参考。

For more questions or detailed information about the chronic disease follow-up management system, please visit our company's website: //qdclab.com There will be a lot of content on the website for reference only.