“三高共管六病同防”慢性病管理新模式有何神奇？

三高共管六病同防管理涉及范圍較廣，現在行業內標準是一套平臺、全縣融合。“三高共管六病同防管理平臺”，實現公共衛生系統、家庭醫生簽約系統、老年人體檢系統、基層醫生APP系統、三高共管六病同防管理平臺（包含大屏展示）、基層醫療系統的一體化，構建醫防融合公衛信息化，提升公共衛生服務效果。

The management of three highs and six diseases involves a wide range of scope, and now the industry standard is a set of platforms and county wide integration. The "Three Highs Co management and Six Diseases Co prevention Management Platform" integrates the public health system, family doctor signing system, elderly physical examination system, grassroots doctor APP system, three highs co management and six diseases co prevention management platform (including large screen display), and grassroots medical system to build a medical prevention integration public health information system and improve the effectiveness of public health services.

區域醫療資源的整合重塑

Integration and reshaping of regional medical resources

項目的建設，可實現將區域內人民醫院、中醫院、基層鄉鎮衛生院、社區醫療服務中心及各村衛生室連成一體，進一步完善基層醫療衛生服務體系，提高區域醫療衛生資源配置和使用效率，加快提升基層醫療衛生服務能力，推動構建分級診療、合理診治和有序就醫新秩序。打造基層一體化信息平臺，實現區域內居民的全生命周期的健康管理。推進分級診療，著力解決“上級醫院不肯放，下級醫院接不住，人民群眾往上擠”等問題，明確各級各類醫療機構功能定位，避免上下醫院各自為陣，互相爭人才、搶病源，促進優質資源下沉，讓大醫院有動力、基層醫院有能力、患者有意愿。助力各級醫療機構建設慢病管理，醫防融合，三高共管六病同防等，讓百姓在家門口就能享受到智慧化、多元化、個性化的健康服務。

The construction of the project can achieve the integration of people's hospitals, traditional Chinese medicine hospitals, grassroots township health centers, community medical service centers, and village clinics in the region, further improve the grassroots medical and health service system, improve the allocation and utilization efficiency of regional medical and health resources, accelerate the improvement of grassroots medical and health service capabilities, and promote the construction of a new order of hierarchical diagnosis and treatment, reasonable diagnosis and treatment, and orderly medical treatment. Build a grassroots integrated information platform to achieve full lifecycle health management for residents in the region. Promote graded diagnosis and treatment, focus on solving problems such as "higher-level hospitals refusing to let go, lower level hospitals unable to connect, and the people pushing upwards", clarify the functional positioning of medical institutions at all levels and types, avoid each hospital competing for talent and disease sources, promote the sinking of high-quality resources, and make large hospitals motivated, grassroots hospitals capable, and patients willing. Assist medical institutions at all levels in the construction of chronic disease management, medical prevention integration, three highs co management and six diseases co prevention, etc., so that people can enjoy intelligent, diversified, and personalized health services at their doorstep.

醫防融合 分級診療

Integrated diagnosis and treatment of medical and preventive measures

區域內，市級、區縣級、鄉鎮級醫院就診患者中，若發現三高患者可自動同步到公共衛生或三高共管六病同防管理平臺中，實現數據的實時，定向同步，醫生登錄相關平臺可實現對同步數據的重點關注，進行無間斷、連續化、規范化管理。

Within the region, if patients with the three highs are found in hospitals at the city, district, and township levels, they can be automatically synchronized to public health or the three highs co management and six diseases co prevention management platform, achieving real-time and targeted synchronization of data. Doctors can log in to relevant platforms to pay close attention to synchronized data and carry out uninterrupted, continuous, and standardized management.

醫防融合可借助遠程診療設備

Medical and preventive integration can be achieved through remote diagnostic and treatment equipment

現階段伴隨著物聯網的發展，使用物聯網智能血壓計、血糖儀、智能腕表，子女或醫生可在微信公眾號實時關注慢性病患者每天的血壓、血糖數據，并實現數據自動推送。解決家庭自測難題、解決遠程醫療滯后性、解決子女關懷的痛點！

At this stage, with the development of the Internet of Things, children or doctors can follow the daily blood pressure and blood sugar data of patients with chronic diseases in real time on WeChat official account and automatically push the data by using the Internet of Things intelligent sphygmomanometer, blood glucose meter and smart wrist watch. Solve the problem of family self-test, address the lag of remote medical care, and address the pain points of caring for children!

遠程監控管理為醫防監控管理核心，是行業發展趨勢，三件套解決方案，真正做到慢病管理的全周期應用

Remote monitoring management is the core of medical prevention and control monitoring management, which is an industry development trend. With a three piece solution, it truly achieves the full cycle application of chronic disease management

遠程檢測手段是三高中重要一環

Remote detection methods are an important part of the three highs

相信通過科技的進步，信息技術的發展，越來越多的慢性病人群也能管理控制好并發癥的發生，做到老有所樂，無病痛折磨的安度晚年。

I believe that with the advancement of technology and the development of information technology, more and more chronic patients can also manage and control the occurrence of complications, achieving a comfortable and painless old age.

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