慢性病健康管理結合現如今人工和智能系統分析的各種優勢條件，在其后續的檢測和相應流程完善使用有著更好的功能。對于客戶而言，需要預先對比慢性病健康管理哪家口碑好，了解慢病診斷之中的健康價值，依據醫師的建議控制病情的發展，合力的采用此類型慢性病健康管理系統為自己的醫療體檢項目帶來更好的輔助效果。

The combination of various advantages of artificial and intelligent system analysis in chronic disease health management has better functions in subsequent detection and corresponding process improvement. For customers, it is necessary to compare which chronic disease health management company has a good reputation in advance, understand the health value of chronic disease diagnosis, control the development of the disease based on the advice of physicians, and jointly adopt this type of chronic disease health management system to bring better auxiliary effects to their medical examination projects.

1、健康檔案:

1. Health records:

可為慢性病病人建立并管理檔案，病人檔案涵蓋病人的門診、住院、體檢、隨訪、投訴、咨詢等各方面檔案信息查詢、管理。

We can establish and manage records for chronic disease patients, which cover various aspects of patient information inquiry and management such as outpatient, hospitalization, physical examination, follow-up, complaints, consultations, etc.

2、慢病分級：

2. Chronic disease grading:

系統根據慢性病不同病種，依據慢性病分級評估標準設計，為醫院構建慢病病人分級管理。

The system is designed based on different types of chronic diseases and evaluation standards for chronic disease grading, to construct a grading management system for chronic disease patients in hospitals.

3、隨訪跟蹤:

3. Follow up tracking:

基于慢病分級，針對不同群體，采取不同的隨訪方式及干預措施。為慢性病患者制定出個性化、切實可行的診療、康復和回訪計劃。對患者今后一段時間內的慢性病干預進行具體的指導。定期自動提醒患者，及時完成相應的工作;并可在當前方案基礎上，不斷優化調整，提高患者的治療效果。

Based on the classification of chronic diseases, different follow-up methods and intervention measures are adopted for different groups. Develop personalized and feasible diagnosis, treatment, rehabilitation, and follow-up plans for chronic disease patients. Provide specific guidance on chronic disease interventions for patients in the future. Regularly and automatically remind patients and experts to complete corresponding tasks in a timely manner; And based on the current plan, continuous optimization and adjustment can be made to improve the treatment effect of patients.

4、健康干預:

4. Health interventions:

移動端微信應用，支持依從性教育及患者自我監測。

The mobile WeChat application supports compliance education and patient self-monitoring.

5、先進的運動管理：

5. Advanced sports management:

運動療法是慢性病治療的兩大基石之一。其原則是:因人而異，量力而為，循序漸進，持之以恒。身體條件好的患者，可以慢跑、跳繩、上樓梯、爬山、騎自行車、游泳、跳韻律操等。

Exercise therapy is one of the two cornerstones in the treatment of chronic diseases. The principle is: vary from person to person, act according to one's abilities, gradually and persistently. Patients with good physical conditions can jog, jump rope, climb stairs, climb mountains, ride bicycles, swim, and perform rhythmic exercises.

6、智能化的飲食管理：

6. Intelligent dietary management:

結合患者的實際情況，為慢性病患者制動出合理的飲食計劃。對患者每天的飲食做出適當的指導，并長期跟蹤、調整，系統自動根據食物營養模型和熱量模型，自動計算患者攝入食物的營養成分和熱量，使得慢性病患者的飲食得以科學、合理的控制。

Based on the actual situation of patients, develop a reasonable dietary plan for chronic disease patients. Provide appropriate guidance on the daily diet of patients, and track and adjust it for a long time. The system automatically calculates the nutritional composition and calories of the food consumed by patients based on the food nutrition model and calorie model, enabling the scientific and reasonable control of the diet of chronic disease patients.

7、用藥及病情管理：

7. Medication and disease management:

患者將自己日常用藥情況和病情情況在系統中進行記錄，由后臺結合慢性病患者的實際情況，對患者的用藥和病情進行指導。幫助患者正確用藥，更好的進行治療和康復。

The patient will record their daily medication and medical condition in the system, and the backend will guide the patient's medication and medical condition based on the actual situation of chronic disease patients. Assist patients in using medication correctly for better treatment and rehabilitation.

8、方便、快捷的醫患交互

8. Convenient and fast doctor-patient interaction

患者可以向就慢性病的相關問題進行咨詢，就相關的問題進行回答。幫肋和患者進行有效的溝通和交互，為慢性病就診過程中的各種問題和情況進行交互。

Patients can consult with experts on issues related to chronic diseases, and experts will answer relevant questions. Effectively communicate and interact with rib specialists and patients to address various issues and situations during the process of seeking treatment for chronic diseases.

9、科研支撐:

9. Research support:

建立慢病大數據，自動生成分析數據，為科學研究和慢病管理提供數據。

Establish big data on chronic diseases, automatically generate analytical data, and provide data for scientific research and chronic disease management.

10、詳實的體檢信息管理:

10. Detailed management of medical examination information:

患者根據需要，將自己的體檢結果如實的在系統中進行記錄，系統自動生成相關身體檢查指標的曲線圖。并與慢性病健康檔案相結合，為慢性病的診療和救治提供有益的支持。

Patients can truthfully record their physical examination results in the system as needed, and the system automatically generates curve graphs of relevant physical examination indicators. And combined with chronic disease health records, provide beneficial support for the diagnosis, treatment, and treatment of chronic diseases.

另外，隨著政策推陳出新和技術的不斷進步,也支持慢病管理產業的互聯網化。與機會相伴而來的是挑戰，慢病管理市場潛在參與者眾多,使得競爭日趨激烈。相信未來隨著技術的革新、產業的發展和患者認識的加深，將解決一個個痛點，使得慢病管理的模式更加完備，行業發展更加迅猛。

In addition, with the introduction of new policies and the continuous progress of technology, it also supports the internetization of the chronic disease management industry. Accompanied by opportunities comes challenges, and the potential participants in the chronic disease management market are numerous, making competition increasingly fierce. I believe that in the future, with the innovation of technology, the development of industries, and the deepening of patient understanding, we will solve each pain point, make the mode of chronic disease management more complete, and the industry will develop more rapidly.

感謝您的閱讀，此文的文章來源：慢病隨訪管理系統更多的內容和問題請點擊：http://www.chuzhoujiajiao.cn我們會繼續努力的為您提供服務，感謝您的支持

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