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Alleviating the contradiction between current medical resources and patient needs, promoting accurate service supply, and meeting the personalized needs of patients have become the topics
of government departments.
The reporter learned on the 8th that in the digital era, Shanghai took the lead in exploring the establishment of an integrated and precise chronic disease health management service model in China, opening up the "city-district-community" three-level service process to achieve "people-centered" integrated whole-process health management
.
of government departments.
The reporter learned on the 8th that in the digital era, Shanghai took the lead in exploring the establishment of an integrated and precise chronic disease health management service model in China, opening up the "city-district-community" three-level service process to achieve "people-centered" integrated whole-process health management
.
Nowadays, the chronic disease management in Shanghai, which is mainly based on the prevention and control of single diseases, has gradually moved towards the integrated integration mode
of "multi-disease prevention".
The continuous improvement of the "medical and prevention integration" of the comprehensive prevention and treatment of chronic disease service management system, the successive introduction of health management standardization and appropriate technology, so that the chronic disease-related measurement and detection of the whole process of data collection increasingly standardized and automated, the accuracy of data collection is greatly improved
.
It is reported that at present, the abnormal detection rate of related monitoring indicators has increased by 10%-20%.
of "multi-disease prevention".
The continuous improvement of the "medical and prevention integration" of the comprehensive prevention and treatment of chronic disease service management system, the successive introduction of health management standardization and appropriate technology, so that the chronic disease-related measurement and detection of the whole process of data collection increasingly standardized and automated, the accuracy of data collection is greatly improved
.
It is reported that at present, the abnormal detection rate of related monitoring indicators has increased by 10%-20%.
After the outbreak of the new crown pneumonia epidemic, reducing the contact time between doctors and patients and improving service efficiency have become an urgent need of
the community.
The Shanghai Municipal Center for Disease Control and Prevention explores the construction of a "Community Chronic Disease Health Management Support Center", aiming at major chronic diseases such as hypertension, diabetes, COPD, stroke, and tumors, setting aside independent areas in community health service centers, applying comprehensive prevention and control appropriate technologies, and carrying out services
such as accurate collection and monitoring of comprehensive risk factors for chronic diseases, and disease screening.
the community.
The Shanghai Municipal Center for Disease Control and Prevention explores the construction of a "Community Chronic Disease Health Management Support Center", aiming at major chronic diseases such as hypertension, diabetes, COPD, stroke, and tumors, setting aside independent areas in community health service centers, applying comprehensive prevention and control appropriate technologies, and carrying out services
such as accurate collection and monitoring of comprehensive risk factors for chronic diseases, and disease screening.
At the same time, the Shanghai Municipal Center for Disease Control and Prevention has created a new community health management service model to reduce the amount of community services and increase efficiency
.
This model is characterized
by "pre-diagnosis precision assessment + standardized monitoring, in-diagnosis data sharing service integration + decision-making assistance, post-diagnosis standardized health education + intelligent follow-up".
.
This model is characterized
by "pre-diagnosis precision assessment + standardized monitoring, in-diagnosis data sharing service integration + decision-making assistance, post-diagnosis standardized health education + intelligent follow-up".
The Shanghai Municipal Center for Disease Control and Prevention told reporters on the same day that the integrated management system for chronic diseases at the municipal and district levels based on electronic health records has gradually changed from a "single-disease management system with diseases as the core" to a "people-centered integrated management system"
.
The reporter learned that the integrated management system can automatically classify healthy, high-risk and diseased people, and can rely on the doctor's service station to provide one-stop service reminders
for the screening, intervention, management, treatment and other chronic diseases such as hypertension and diabetes.
Patients can access clinical and preventive services between appointments
.
.
The reporter learned that the integrated management system can automatically classify healthy, high-risk and diseased people, and can rely on the doctor's service station to provide one-stop service reminders
for the screening, intervention, management, treatment and other chronic diseases such as hypertension and diabetes.
Patients can access clinical and preventive services between appointments
.
The center explained that through big data capture and matching, for residents positioned as "high risk of chronic diseases", the integrated management system will remind doctors to give screening services, and automatically track clinical diagnostic information, prompting doctors to incorporate them into patient management, forming a closed-loop management
of chronic disease screening services.
For chronic disease management objects, the system can automatically track the consultation and testing information of a variety of chronic diseases and complications, and remind doctors to adjust to comorbid management requirements
in a timely manner.
In terms of supporting people's self-management, the relevant systems can provide personalized health management solutions
.
of chronic disease screening services.
For chronic disease management objects, the system can automatically track the consultation and testing information of a variety of chronic diseases and complications, and remind doctors to adjust to comorbid management requirements
in a timely manner.
In terms of supporting people's self-management, the relevant systems can provide personalized health management solutions
.
On the 25th "National Hypertension Day", the monitoring results of the Shanghai Disease Control Department showed that there were 3 hypertension patients in every 10 permanent residents aged 18 and above in Shanghai; Less than 50%
of them know they have high blood pressure and are being treated.
The Shanghai Municipal Health Commission pointed out that the control rate of hypertension patients is even less optimistic, only 24.
1%, which means that three-quarters of hypertension patients are in an "out of control" state
.
At present, all community health service centers in Shanghai provide health management services such as chronic disease risk assessment, disease screening, monitoring and follow-up, comprehensive intervention and health education for patients with hypertension in accordance with the requirements of the Shanghai Community Health Management Work
Code.
of them know they have high blood pressure and are being treated.
The Shanghai Municipal Health Commission pointed out that the control rate of hypertension patients is even less optimistic, only 24.
1%, which means that three-quarters of hypertension patients are in an "out of control" state
.
At present, all community health service centers in Shanghai provide health management services such as chronic disease risk assessment, disease screening, monitoring and follow-up, comprehensive intervention and health education for patients with hypertension in accordance with the requirements of the Shanghai Community Health Management Work
Code.
During the interview, the reporter learned that as an offline "physical store" for the integrated health management of chronic diseases, three municipal community chronic disease health management support centers - Huangpu District Dapuqiao Community, Baoshan District Luodian Community, Fengxian District Fengpu Community have completed construction, nearly 90 communities have carried out standardized technology applications, a total of 1.
8 million people have completed standardized services for chronic disease health management, the abnormal detection rate of monitoring indicators has increased by 10%-20%, and the people's satisfaction has exceeded 90%.
8 million people have completed standardized services for chronic disease health management, the abnormal detection rate of monitoring indicators has increased by 10%-20%, and the people's satisfaction has exceeded 90%.
Nowadays, digital and intelligent applications have optimized
the service process and service efficiency of chronic disease management in Shanghai.
Relying on the new chronic disease management system and the "health cloud" platform, Shanghai has built a "cloud service" for the elderly chronic disease management, providing intelligent chronic disease management
based on personal "health dynamic code" for the public and patients with chronic diseases.
the service process and service efficiency of chronic disease management in Shanghai.
Relying on the new chronic disease management system and the "health cloud" platform, Shanghai has built a "cloud service" for the elderly chronic disease management, providing intelligent chronic disease management
based on personal "health dynamic code" for the public and patients with chronic diseases.
The reporter learned on the same day that in order to reduce the patient's waiting time and contact risk, Shanghai continues to explore a new model of integration of new technologies and chronic disease prevention and treatment, and artificial intelligence voice technology has been applied
in the follow-up information collection and management scenarios of patients with chronic diseases.
Intelligent voice follow-up takes into account both popular and scientific, establishes a process that meets the habits of elderly patients, and forms a contactless and precise community chronic disease follow-up model
.
in the follow-up information collection and management scenarios of patients with chronic diseases.
Intelligent voice follow-up takes into account both popular and scientific, establishes a process that meets the habits of elderly patients, and forms a contactless and precise community chronic disease follow-up model
.
It is understood that the Shanghai Expert Advisory Committee on Comprehensive Prevention and Treatment of Chronic Diseases has been established to further improve the clinical technical support network for the comprehensive prevention and treatment of chronic diseases and support mechanisms
such as medical and prevention integration.
At present, the main municipal clinical technical support center for chronic diseases is gradually under construction, and at the same time, experts are formulating standards for the construction of regional clinical technical support centers for comprehensive prevention and treatment of chronic diseases, and organizing the preparation of appropriate technologies, programs or information standards
for the comprehensive prevention and treatment of key chronic diseases.
(End)
such as medical and prevention integration.
At present, the main municipal clinical technical support center for chronic diseases is gradually under construction, and at the same time, experts are formulating standards for the construction of regional clinical technical support centers for comprehensive prevention and treatment of chronic diseases, and organizing the preparation of appropriate technologies, programs or information standards
for the comprehensive prevention and treatment of key chronic diseases.
(End)
