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.
关键词
慢病连续性健康管理模式/关键问题/对策建议
Key words
chronic disease continuous health management model/key issues/countermeasures and suggestions