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，随着对下层医疗的重视与投入，分级诊疗系统逐步建设深入，各大社区卫生效劳中心正在逐步建设慢病治理制度，建设社区慢病防治网络，对社区高危人权和慢病按期筛查，掌握病患情形，建设信息档案库，同时对人群慢病分类监测、挂号。不少地区的村医、家庭医生建设了慢病随访制度，按期上门诊疗，为康健增进和干预提供优异基础。

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.

公共卫生随访装备，便携易用，为村医、家庭医生等买通慢病治理初的百米，随时随地举行基础康健数据快速检测及网络，同时天生康健治理档案，让慢病患者都能享受到快捷的康健治理效劳，提高医护职员事情效率。

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.

检测效果可上传上正华瑞康健治理云平台，便于慢病治理及院外管控。有用助力慢病治理公共卫生随诊包，具有无线数据传输功效，便于网络各项康健检测心理参数，天生康健评估报告并建设康健治理档案，集数据网络、康健剖析、电子病历为一体，便于医护事情职员实时给慢病患者提供康健治理建议，有用协助院外慢病干预及慢病康健治理。

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：公卫效劳、统计剖析、对统领装备和医生举行排班、治理、监视指导。对辖区住民康健档案举行治理剖析，实现上下转诊、急慢分治等治理全科医生：住民康健治理、康健档案：对住民举行康健建档、档案治理：凭证住民情形制订随访妄想、慢病治理妄想、孕产康健治理妄想等

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治理系统问题或者详细的内容，请进入我们公司的网站：网站中会有许多的内容仅供参考。

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