Analysis of the problems in the implementation of three-level prevention of coronary disease in community medical treatment
10.3760/cma.j.issn.1008-6706.2019.05.032
- VernacularTitle:在社区医疗工作中实施冠心病三级预防的问题分析
- Author:
Xiao XU
1
;
Wei LIU
;
Yufen XIAO
Author Information
1. 昆明医科大学第五附属医院红河州滇南中心医院全科
- Keywords:
Coronary disease;
Hypertension;
Diabetes;
Hyperlipidemia;
Risk factors;
Community health services: Prevention;
Problem solving
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(5):638-640
- CountryChina
- Language:Chinese
-
Abstract:
The " three-level prevention of coronary heart disease" was selected as the search term,the domestic medical literature from 2014 to 2018 was searched in the China Knowledge Network Journal Database,and the implementation and problems of the third-level prevention of coronary heart disease in community medical treatment was analyzed.The main problems are:(1) high-risk patients with coronary heart disease have limited knowledge of the disease and cannot be treated in time;(2) community medical personnel cannot regularly and regularly screen the high-risk groups of coronary heart disease in the area;(3)patients cannot fully understand the scheme and necessity of standardized tertiary prevention and treatment;(4) the economic cost of standardized third-level prevention is high,and the compliance of treatment is low;(5)community general practitioners and cardiovascular specialists cannot homogenize the cognitive knowledge of coronary heart disease.Recommendations:(1) In community health care,it is necessary to standardize the implementation of tertiary prevention and treatment of coronary heart disease.In addition to focusing on the health education of patients and regularly screening high-risk patients,cardiovascular specialists should also be designated to regularly conduct professional training for community doctors;(2) At the government level,appropriate policy assistance can be given to low-income patients who are unable to adhere to standardized treatment for economic reasons.
