In 2024, the management of single disease groups will continue to be carried out in three fronts

Mondo Social Updated on 2024-01-31

Single-disease group management is the health management of the same disease group, which is the realization form of hierarchical diagnosis and treatment and integrated service system. In the new year, we will continue to make every effort to explore from three aspects: theoretical exploration, information construction, and practical promotion.

1. Theoretical exploration.

1) The relationship between single-disease population management and group medicine;

2) the relationship between single-disease group management and health management and health gatekeeper system

3) the relationship between single-disease population management and hierarchical diagnosis and treatment

4) the relationship between single-disease population management and integrated service system

5) the relationship between single-disease group management and medical community;

6) the relationship between single-disease population management and health governance

7) the relationship between single-disease population management and health information economics;

8) the relationship between single-disease population management and optimal allocation of resources

9) the relationship between single-disease group management and the change of health organization

10) The relationship between single-disease population management and high-quality development and the foundation of Chinese-style modern health.

2. Informatization construction.

1) Single-disease population management, main system operation and maintenance;

2) Development of a single disease population management assistance system;

3) Integration of single-disease population management system to health-related business application system;

4) Single-disease population management system cooperates with third-party related big data systems;

5) R&D of the residential side of the single-disease population management system;

6) The application of blockchain, large model, digital human and other technologies in the management scenario of single-disease population;

7) Single-disease population management and optimal configuration of intelligent equipment

8) The single-disease population management guidelines have been put into operation to reach 150 diseases

9) Improve the data display and application mode of single-disease population management, such as digital intelligence and healthy brain

10) Explore the construction of digital and intelligent mobile hospitals that are compatible with home medical care.

3. Practice advancement.

1) The training and assessment of family doctors are more comprehensive and in-depth, and the grid management is more sound and perfect

2) The team of chief physicians for single-disease group management has been continuously enriched, and the quality control of family medicine work is solid and effective

3) The number of people under management of hypertension and diabetes mellitus is close to or reaches the theoretical incidence level;

4) The provincial-level primary health comprehensive pilot zone to carry out single-disease group management has expanded the number of diseases to 7-10, and the national primary health comprehensive pilot zone has taken the lead in moving towards the management of all diseases

5) The first diagnosis rate of general diseases at the grassroots level increased by 1-3 percentage points

6) The key business processes of grassroots institutions and higher-level hospitals have been straightened out, and continuous medical care has been widely carried out

7) Interconnection, co-construction and sharing of health management files;

8) Explore the practical experience that matches the management of single-disease groups, including the "triple integration" of systems, institutions, and capabilities, and general health management.

9) Promote integrated outpatient clinics and integrated doctor workstations that are compatible with single-disease group management

10) The operation mechanism of the "trinity" of administrative management, business management and technical management of single disease groups is smoother

11) New progress has been made in the pilot projects for the reform and high-quality development of national public hospitals, including single-disease group management;

12) Comprehensive promotion of new rural health integration and 6S management of rural medical and health institutions supporting the management of single-disease groups.

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