Previously, hypertension, diabetes and dyslipidemia (commonly referred to as "three high") were the three major risk factors leading to the rise of cardiovascular and cerebrovascular diseases in China, with a mortality rate of 7 ‰. Every year, 842993 people died of diabetes and complications. At present, there are problems in the diagnosis and treatment management of patients with "three highs": 1. Multiple complications indicators need to be tested, and patients need to repeatedly queue up and travel to multiple different departments to invest more time and energy; 2. Different hospitals, hospitals and families are all information silo of information, which is difficult to achieve accurate diagnosis and treatment and continuous management; 3. The number of doctors and patients is seriously unbalanced, and it is difficult for traditional disease diagnosis and treatment methods to effectively control diabetes.

我国现在已将高血压、糖尿病治理纳入基本公共卫生效劳
，并取得了较显着的效果
，但尚未对血脂异常举行治理
，成为我国心脑血管疾病防控的“短板”。

At present, China has incorporated the management of hypertension and diabetes into the national basic public health services, and has achieved obvious results. However, it has not yet managed blood lipid abnormalities, which has become a "short board" for the prevention and control of cardiovascular and cerebrovascular diseases in China.

为了这一问题
，通过三高共管将辖区内的慢病患者纳入平台治理
，逐步实现以“治病为中心”向以“康健治理为中心”的转变
，立异以家庭医生为焦点的“三高共管、三级协同”分级诊疗效劳模式。三高共管系统建成将能够辅助下层医生为高血压、糖尿病、高血脂异常的患者提供细腻化的配合治理和全程保健。团结我国基本公共卫生规范
，及相关慢性病控制规范
，关于控制不知足的三高患者能够实时向上级举行转诊
，控制理想后
，将患者转回下层医疗机构
，实现病情信息、评估报告、计划的信息共享
，从而提升心脑血管疾病的防控效率
，切实为群众提供便捷、的医疗卫生和医疗保健。

In order to solve this problem, the chronic disease patients within the jurisdiction will be included in the platform management through the three high co management, gradually realizing the transformation from "disease treatment as the center" to "health management as the center", and innovating the "three high co management, three level collaboration" hierarchical diagnosis and treatment service model with family doctors as the core. The completion of the "three high" co management system will be able to assist grass-roots doctors to provide refined co management and whole process health care for patients with hypertension, diabetes and hyperlipidemia. Based on China's basic public health standards and relevant chronic disease control standards, patients with unsatisfactory control of the "three highs" can be promptly referred to their superiors. After achieving ideal control, patients can be transferred back to grassroots medical institutions to achieve information sharing of disease information, evaluation reports, and treatment plans, thereby improving the prevention and control efficiency of cardiovascular and cerebrovascular diseases and effectively providing convenient and high-quality medical and health care to the public.

怎样打造以高血压、糖尿病和高血脂为、以家医签约、公卫签约和医保签约合而为一的、一二三级医疗卫生气构协同相助的“三高共管、三级协同”慢病治理效劳模式
，提高区域慢病治理综合效劳能力
，赋能下层卫生康健生长,通过综合治理有用阻止心脑血管疾病的高发
，早日实现心脑血管疾病下降的拐点,这是现在医疗领域面临的一项十分主要和紧迫的使命。怎样使用信息化手段构建三高共管互联网化治理平台
，毗连高血压和糖尿病专科医师
，充分赋能家庭医生
，将高血压、糖尿病、血脂异常举行信息化、标准化治理
，这是本手艺领域亟待的手艺问题。

How to create a "three high co management, three level coordination" chronic disease management service model focusing on hypertension, diabetes and hyperlipidemia, integrating home doctor signing, public health signing and medical insurance signing, and cooperating with primary, secondary and tertiary medical and health institutions, improve the comprehensive service capacity of regional chronic disease management, enable the healthy development of grassroots health, and effectively curb the high incidence of cardiovascular and cerebrovascular diseases through comprehensive management, Realizing the turning point of the decline in cardiovascular and cerebrovascular diseases as soon as possible is a very important and urgent task currently facing the medical field. How to use information means to build an Internet management platform for three high blood pressure co management, connect hypertension and diabetes specialists, fully empower family doctors, and carry out information and standardized management of hypertension, diabetes, and dyslipidemia is a technical problem that needs to be solved urgently in this technical field.

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，更多的相关内容请点击 希望本文能够为您带来资助
，谢谢您的阅读！

This article is provided by the three high co managed regional platform system for assistance. For more related content, please click I hope this article can be helpful to you. Thank you for reading!