Current situation and four-level prevention of stroke under the collaborative management model between medical prevention and treatment in Nantong
10.3969/j.issn.1006-7795.2025.01.010
- VernacularTitle:南通市医防协同管理模式下脑卒中现状及四级预防
- Author:
Xiaomeng LIU
1
;
Shaojuan ZHOU
;
Xiaohong SHAO
;
Wenping XU
;
Feng HUAN
;
Xiangyang ZHU
Author Information
1. 南通市疾病预防控制中心医防管理科,江苏南通 226000;南通大学公共卫生应用研究院,江苏南通 226000;南通市心脑血管病医防协同中心,江苏南通 226000
- Publication Type:Journal Article
- Keywords:
collaboration between medical and preventive;
stroke;
fourth-level prevention
- From:
Journal of Capital Medical University
2025;46(1):63-67
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the innovative model and effectiveness of the four-level prevention of stroke in Nantong Medical and Prevention Collaborative Center for Cardiovascular and Cerebrovascular Disease,so as to provide new practical experience for the prevention and treatment of cerebrovascular disease.Methods In practice,Nantong city has explored the"53343"mode of collaborative treatment and prevention of cardiovascular and cerebrovascular diseases,and innovatively integrated this mode into four-level prevention to form a practice mode of zero-level guidance,first-level monitoring,second-level coordination and three-level leading.Data from the China Health Statistics Yearbook from 2011 to 2022 and the monitoring data of cardiovascular and cerebrovascular events in Nantong City on the Jiangsu Provincial Chronic Disease Management Information Platform from 2017 to 2023 were collected and processed by using Excel and SPSS 24.0,to analyze the changes of stroke surveillance data and effectiveness in Nantong City after applying the model.Results According to the monitoring data of cardiovascular and cerebrovascular events in Nantong City from the Jiangsu Provincial Chronic Disease Management Information Platform,despite the continuous increase in the number of monitored individuals over five years,the monitoring data for stroke from the Nantong Medical and Prevention Collaborative Center for Cardiovascular and Cerebrovascular Disease witnessed a decline in the number of monitored individuals for the first time in 2022.The stroke monitoring data from the same monitoring agency showed a more stable fluctuation trend compared to the number of national stroke patients discharged from 2017 to 2021.We established a coherent health service operation mechanism,cultivated 14 interdisciplinary talents,held a special continuing education class on stroke,strengthened the in-depth collaboration between clinical and public health,and provided a practical and innovative model for effective prevention and treatment of stroke.Conclusions The four-level prevention based on the medical and preventive collaboration center for cardiovascular and cerebrovascular diseases can achieve process and cycle health management,effectively slow down the upward trend of stroke,and improve the ability and level of scientific research and teaching.
