Launch the integrated control of chronic disease together

Launch the integrated control of chronic disease together
It is reported ' Reporter Chen Qing) The reporter held since yesterday " The hospital at city level supports the community to launch the integrated control project working forum of chronic disease " Learn: 13 hospitals at city level of Shanghai support the community to launch the integrated control of chronic disease, have developed the activity of professional training over one hundred times with 13 second hospital, 41 community health Centers of 12 counties altogether, and successively discussed and made the standardized healing solutions of 16 diseases. Form tentatively prevent and cure the intersection of chronic disease and mode jointly at present, raise the intersection of community and chronic disease of doctor prevent and cure competence, control the gradual improvement of the rate, complication detection rate after bringing the knowing rate of chronic disease, key index, and the decline of morbidity, has brought the material benefit that can be seen to common people.

80% of the diseases in our country are chronic disease at present, the mortality of chronic disease accounts for 75% of total mortality. In crowd, resident of this city, the first five cause of the death respectively for the intersection of circulatory system and disease, tumour, respiratory disease, damage poisoning and endocrine nutrition supersession disease. Prevent and cure chronic disease, " gatekeeper " of community's hygiene The network can be rated as the most favorable platform. However, insufficient because of community's doctor's professional knowledge, health and education not-in-position, it is very pessimistic to prevent and cure the result. Take diabetes as examples, six hospitals of investigations reveals in the city: Shanghai some the intersection of community and blood glucose it controls getting up to standard to be only 10%, compared with 50% of the hospital at city level, have a long way to go.

It is introduced, since 2007, Shanghai explains " hospital chronic disease integrated control project at city level " implemented in centre of development of health hospital ,Lock the goal at common chronic disease such as apoplexy of brain, hypertension, diabetes, chronic bronchitis, tumour, osteoporosis, led by 13 hospitals at city level, it belongs to hospital, the community health Center to unite 54 districts in the whole city, launch the work of preventing and curing together.

The large hospital specialist goes to the hand handle area of the community to teach, has improved community's doctor's prevention and cure level. In the project group of the pilot project in the district of Putuo, the diabetic training base which the hospital of city six establishes, 12 community doctors have finished receiving a training and studying already. Putuo district really follows up a case by regular visits to management to the diabetic who has already filed for half a year like in the town, blood glucose getting up to standard to rise to 31% from 20% past, the intersection of sieve and person who check of diabetes complication rise to 15% from 3.4%. In the project group of the pilot project in the district of Luwan, are directed against hypertension by Rui Jin hospital, Luwan district central hospital, made up of the specialist, with community's doctor together " Make a diagnosis in the group in common chronic disease union " . A lot of complete doctors hold a consultation through the video, is studying the new theory of making a diagnosis constantly, have known the scheme of making a diagnosis of a whole set of chronic disease, has improved the prevention and control rate of chronic disease effectively.

As the community makes a diagnosis competence is improved steadily, citizens go to a doctor the mode thereupon change too, a lot of people choose to go to the community health Center to go to a doctor nearby. It is reported, Luwan district makes great efforts to explore that it is " complete - specially " to set up The new mode of jointly making a diagnosis, by March, 310 patients accepted already " completely - specially " Jointly make a diagnosis, patient's satisfaction is more than 98%.

Nearly there are hypertension patients 2,110,000 in this city, diabetic 1 million, tumour patient 190,000. Last year, the management coverage rate to the hypertension patient of this city was 34.01%, blood pressure of the whole year of nearly half patients among them was controlled finely. Building Carlos rate managing rate and is up to 96% of the diabetic, the following up a case by regular visits to rate of tumour patient's norm is steady about 80%, follow up a case by regular visits to more than 170,000 tumour patients every year.

Vice Mayor Yan Hu take and Shen XiaoMing attend the meeting of yesterday.

Launch the integrated control of chronic disease together