慢病管理系统功能需要哪些？

慢性病健康管理结合现如今人工和智能系统分析的各种优势条件，在其后续的检测和相应流程完善使用有着更好的功能。对于客户而言，需要预先对比慢性病健康管理哪家口碑好，了解慢病诊断之中的健康价值，依据医师的建议控制病情的发展，合力的采用此类型慢性病健康管理系统为自己的医疗体检项目带来更好的辅助效果。

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、健康档案:

1. Health records:

可为慢性病病人建立并管理档案，病人档案涵盖病人的门诊、住院、体检、随访、投诉、咨询等各方面档案信息查询、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、慢病分级：

2. Chronic disease grading:

系统根据慢性病不同病种，依据慢性病分级评估标准设计，为医院构建慢病病人分级管理。

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、随访跟踪:

3. Follow up tracking:

基于慢病分级，针对不同群体，采取不同的随访方式及干预措施。为慢性病患者制定出个性化、切实可行的诊疗、康复和回访计划。对患者今后一段时间内的慢性病干预进行具体的指导。定期自动提醒患者，及时完成相应的工作;并可在当前方案基础上，不断优化调整，提高患者的效果。

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、健康干预:

4. Health interventions:

移动端微信应用，支持依从性教育及患者自我监测。

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

5、的运动管理：

5. Advanced sports management:

运动疗法是慢性病的两大基石之一。其原则是:因人而异，量力而为，循序渐进，持之以恒。身体条件好的患者，可以慢跑、跳绳、上楼梯、爬山、骑自行车、游泳、跳韵律操等。

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、智能化的饮食管理：

6. Intelligent dietary management:

结合患者的实际情况，为慢性病患者制动出合理的饮食计划。对患者每天的饮食做出适当的指导，并长期跟踪、调整，系统自动根据食物营养模型和热量模型，自动计算患者摄入食物的营养成分和热量，使得慢性病患者的饮食得以科学、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、用药及病情管理：

7. Medication and disease management:

患者将自己日常用药情况和病情情况在系统中进行记录，由后台结合慢性病患者的实际情况，对患者的用药和病情进行指导。帮助患者正确用药，更好的进行和康复。

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、快捷的医患交互

8. Convenient and fast doctor-patient interaction

患者可以向就慢性病的相关问题进行咨询，就相关的问题进行回答。帮肋和患者进行有效的沟通和交互，为慢性病就诊过程中的各种问题和情况进行交互。

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、科研支撑:

9. Research support:

建立慢病大数据，自动生成分析数据，为科学研究和慢病管理提供数据。

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

10、详实的体检信息管理:

10. Detailed management of medical examination information:

患者根据需要，将自己的体检结果如实的在系统中进行记录，系统自动生成相关身体检查指标的曲线图。并与慢性病健康档案相结合，为慢性病的诊疗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，随着政策推陈出新和技术的不断进步,也支持慢病管理产业的互联网化。与机会相伴而来的是挑战，慢病管理市场潜在参与者众多,使得竞争日趋激烈。相信未来随着技术的革新、产业的发展和患者认识的加深，将一个个痛点，使得慢病管理的模式更加完备，行业发展更加迅猛。

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.

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Thank you for reading. The source of this article is the Chronic Disease Follow up Management System. For more information and questions, please click: http://www.guantangyiliao.com We will continue to work hard to provide you with services. Thank you for your support