Volume 19 Issue 10
Oct.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(10): 1700-1705
CHEN Bi-hua, LI Qing, JIANG Dan-ma, WANG Jun. Analysis of the core elements of the successful construction of 'cardiac rehabilitation in the community' clinical path of community general practice care under hierarchical medical system[J]. Chinese Journal of General Practice, 2021, 19(10): 1700-1705. doi: 10.16766/j.cnki.issn.1674-4152.002146
Citation: CHEN Bi-hua, LI Qing, JIANG Dan-ma, WANG Jun. Analysis of the core elements of the successful construction of "cardiac rehabilitation in the community" clinical path of community general practice care under hierarchical medical system[J]. Chinese Journal of General Practice, 2021, 19(10): 1700-1705. doi: 10.16766/j.cnki.issn.1674-4152.002146
shu

Analysis of the core elements of the successful construction of "cardiac rehabilitation in the community" clinical path of community general practice care under hierarchical medical system

doi: 10.16766/j.cnki.issn.1674-4152.002146
  • 1.

    Longhua Street Community Health Service Center, Xuhui District, Shanghai 200232, China

Funds:

 201940388

 SHXH201721

 SHXH201723

  • Received Date: 2020-09-20
    Available Online: 2022-02-15
    Abstract
  •   Objective  Under the background of hierarchical diagnosis and treatment, with the application of advanced and appropriate technologies in specialized specialty communities as the source of technology, and the principle of technology introduction and re-innovation as the principle of acceptance and absorption, successfully constructing a community general medical diagnosis and treatment path for key specialized diseases, this study intends to clarify the challenges and major difficulties, and the core elements and basic principles of the countermeasures.  Methods  In March 2020, the Longhua "cardiac rehabilitation in the community" project was used as the research object. The preliminary decision-making, construction process and construction results of the project in the two-year construction period were sorted out by key insiders reviewing and historical data of the department sorting, and then summarized and condensed the practical experience by literature search and expert judgment.  Results  Four core elements were drawn: do a good job in basic guarantees, make the members of the organization realize the importance and inevitability of introducing technology for business development; choose technology carefully to ensure that technology can actually help the development of the community and the whole department; value technology interface, and integrate the advantages of specialization into translation and conversion into the general practice and community environment; through technology penetration, let technology not only solve the problem of cardiovascular disease but also the management of all chronic diseases of the same kind.  Conclusion  The "cardiac rehabilitation in the community" is a very complex and comprehensive project, which meets the characteristics of general practice. It faces the current situation of multiple roles, complex technology, and insufficient community resource allocation. Only by identifying all needs and available resources, and obtaining these resources through scientific, professional, and careful cooperation, integration and coordination, and then organic integration and export to community residents, attach importance to internal mobilization, external coordination, process management. It is technically inferior to other factors to make it possible to work.

     

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