Construction of a closed-loop chronic disease management system based on hospital-community inte-gration using the first page of medical records
10.3969/j.issn.1671-332X.2025.03.030
- VernacularTitle:基于病案首页的医院-社区联动慢病闭环管理体系构建
- Author:
Lifang CHEN
1
;
Chunyan DU
1
Author Information
1. 江阴市人民医院 江苏江阴 214400
- Publication Type:Journal Article
- Keywords:
First page of medical records;
Chronic disease management;
Extended services;
Hospital-community medi-cal integration
- From:
Modern Hospital
2025;25(3):448-450
- CountryChina
- Language:Chinese
-
Abstract:
With the intensification of global population aging,chronic disease management has gradually become a major public health issue.The article first analyzes the limitations of the traditional medical and health system and the necessity of com-prehensive health management,then introduces the considerations for the construction of a closed-loop chronic disease manage-ment system,and elaborates on the important role of the first page of medical records in the medical process.Finally,it proposes countermeasures and suggestions on how to promote the strengthening of cooperation between hospitals and community medical in-stitutions based on the quality control and extended services of the first page of medical records.This innovative service model sig-nificantly improves the efficiency and quality of chronic disease management.
