慢病是威脅人類健康的公共衛生問題，包括高血壓、糖尿病、腦卒中、冠心病壓等。慢病管理防大于治，常規慢病管理主要靠患者自我檢測。但在鄉村，村民本身不夠重視，存在操作不規范、設備老化、遺忘測量、測量時間不規律、缺少長期記錄等諸多問題，導致很難有效實現慢病管理。而到醫院檢查又需掛號，排隊，費時費力，成本很高。所以不少慢病患者漸漸只能是“慢病不管”了。

　　Chronic disease is a public health problem threatening human health, including hypertension, diabetes, stroke, coronary heart disease pressure, etc. Prevention is greater than cure in chronic disease management, and routine chronic disease management mainly relies on patient self testing. But in rural areas, villagers themselves do not attach enough importance, and there are many problems such as non-standard operation, aging equipment, forgetting measurements, irregular measurement time, and lack of long-term records, which make it difficult to effectively achieve chronic disease management. And going to the hospital for examination requires registration, queuing, time-consuming and labor-intensive, with high costs. So many chronic disease patients can only gradually ignore chronic diseases.

　　為規范慢病隨訪，在市衛生健康局指導下，市二院醫療集團引進“公共衛生慢病隨訪包”。公共衛生慢病隨訪包的工程師來到醫院，現場為我院公衛人員和轄區內鄉醫進行培訓，現場指導如何使用及操作步驟。培訓后，我院公衛人員積極學習，認真思考，并且下村實際操作，學會操作后幫助鄉醫解決具體操作問題。對于一些鄉醫操作還有些不熟悉的情況，我院積極安排公衛人員，下村為鄉醫講解疑惑并在現場為其實際操作。

　　To standardize chronic disease follow-up, under the guidance of the Municipal Health Bureau, the Second Hospital Medical Group of the city has introduced the "Public Health Chronic Disease Follow up Package". The engineer of the public health chronic disease follow-up package came to the hospital to provide on-site training for our public health personnel and township doctors in the jurisdiction, guiding them on how to use and operate the package. After the training, our hospital's public health personnel actively studied, thought seriously, and went to the village to practice. After learning how to operate, they helped the township doctors solve specific operational problems. For some situations where the township doctors are still unfamiliar with the operation, our hospital actively arranges public health personnel to explain the doubts to the township doctors in the village and provide on-site practical operations for them.

　　公共衛生慢病隨訪包便攜易用，可以隨時隨地進行基礎健康數據快速檢測及收集，并同步上傳到居民健康電子檔案，讓慢病患者享受到快捷的健康管理服務，提高醫護人員工作效率，為村醫、家庭醫生打通慢病管理最初的百米。

　　The public health chronic disease follow-up kit is portable and easy to use, allowing for rapid detection and collection of basic health data anytime and anywhere, and synchronously uploading it to residents' electronic health records. This enables chronic disease patients to enjoy fast health management services, improves the work efficiency of medical staff, and connects the first mile of chronic disease management for village doctors and family doctors.

　　本文由  慢病隨訪包 友情奉獻.更多有關的知識請點擊  http://www.yywed.cn/   真誠的態度.為您提供為全面的服務.更多有關的知識我們將會陸續向大家奉獻.敬請期待.

　　This article is contributed by the Chronic Disease Follow up Package For more related knowledge, please click http://www.yywed.cn/ Sincere attitude To provide you with comprehensive services We will gradually contribute more relevant knowledge to everyone Coming soon.