The continuous health management model of chronic disease will become an effective means to overcome the difficulties in the current diagnosis and treatment of chronic disease, such as the loss of follow-up, referral difficulties and separation of medical treatment and prevention, and has shown considerable potential in the early operation, and has been widely welcomed by medical staff and patients with chronic disease, and produced a good response. However, the chronic disease continuous health management model is still in a process of continuous development and innovation, so it also faces many problems. Based on this, the author intends to summarize the experience of the problems that have been solved so far, and put forward countermeasures and suggestions for the urgent problems for readers'' reference.
chronic disease continuous health management modelkey issuescountermeasures and suggestions
刘瀚琳、Li Jing-yu、杜春霖、Tang Zheng、王睆琳、Tan Ming-ying
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四川大学华西医院,四川 成都 610041
West China Hospital, Sichuan University, Chengdu 610041, China