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Chronic disease management in community:challenge and strategy

Guang-zheng Xu, Huiqin Zhang

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Abstract

In a survey on chronic disease management in Xujiahui Community,we found that the general practice team was facing the following problems:①Heavy burden of follow-up work by a relatively smaller number of physicians;②Misunderstanding of health and insufficient recognition of the importance of chronic disease management among community residents;and③Delayed database construction and inefficient performance.In this study,we described the strategies to improve chronic disease management in communities. Key words: Disease management;  Community health services

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In a survey on chronic disease management in Xujiahui Community,we found that the general practice team was facing the following problems:①Heavy burden of follow-up work by a relatively smaller number of physicians;②Misunderstanding of health and insufficient recognition of the importance of chronic disease management among community residents;and③Delayed database construction and inefficient performance.In this study,we described the strategies to improve chronic disease management in communities. Key words: Disease management;  Community health services

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Available abstract

In a survey on chronic disease management in Xujiahui Community,we found that the general practice team was facing the following problems:①Heavy burden of follow-up work by a relatively smaller number of physicians;②Misunderstanding of health and insufficient recognition of the importance of chronic disease management among community residents;and③Delayed database construction and inefficient performance.In this study,we described the strategies to improve chronic disease management in communities. Key words: Disease management;  Community health services

Key concepts: Chronic disease, Disease, Disease management, Medicine, Community health, Work (physics), Health management system, Family medicine

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