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出 处:《湖南中医药大学学报》2018年第A01期135-135,共1页Journal of Hunan University of Chinese Medicine
摘 要:目的:实现目标人群以及慢病患者的自我监测和管理,以及在患者“身边的医疗团队”的提前干预和照护。方法:利用信息化手段实现,患者和目标人群通过微信社交平台获取诊疗历史、随访内同等,患者在微信端录入膳食情况、药物摄入情况、运动情况、自测血糖血压等情况提交后医疗团队可以监测管理,及时调整诊疗方案。结果:线上线下的信息实时同步以及患者指标实时监测,可以做到防治结合、全程管理。结论:充分利用信息技术丰富慢性病防治手段和工作内容,对慢性非传染性疾病进行定期检测,连续监测,评估与综合干预管理是信息时代慢病管理的选择和趋势。Object:To achieve the self-monitoring and management of the target population and the patients with chronic disease,as well as the early intervention and care of the medical team around the patient.Methods:the patients and the target population through the WeChat social platform to upload entry diet,drug intake,exercise,self-testing blood pressure and Blood glucose and other conditions,after the submission,the medical team can monitoring and timely adjust treatment plan by use of information technology.Results:the real-time synchronization of the online and offline information,and the real-time monitoring of the patients can achieve the combination of prevention with control and the whole process management.Conclusion:Make full use of information technology to prevent and manage the chronic patients.It is the trend and choice in the information age that takes regular testing continuous monitoring,evaluation and comprehensive intervention management.
分 类 号:R197.61[医药卫生—卫生事业管理]
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