Volume 23 Issue 9
Sep.  2025
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The County Chronic Disease Health Management Branch of China Health Promotion and Education Association, Institute for Healthy China of Tsinghua University, the County Chronic Disease Health Management Institute of Wenzhou Medical University. Expert consensus on the whole-course management in patients with arteriosclerotic cardiovascular disease in county-level medical consortium(2025)[J]. Chinese Journal of General Practice, 2025, 23(9): 1454-1460. doi: 10.16766/j.cnki.issn.1674-4152.004154
Citation: The County Chronic Disease Health Management Branch of China Health Promotion and Education Association, Institute for Healthy China of Tsinghua University, the County Chronic Disease Health Management Institute of Wenzhou Medical University. Expert consensus on the whole-course management in patients with arteriosclerotic cardiovascular disease in county-level medical consortium(2025)[J]. Chinese Journal of General Practice, 2025, 23(9): 1454-1460. doi: 10.16766/j.cnki.issn.1674-4152.004154

Expert consensus on the whole-course management in patients with arteriosclerotic cardiovascular disease in county-level medical consortium(2025)

doi: 10.16766/j.cnki.issn.1674-4152.004154
  • Received Date: 2025-05-16
    Available Online: 2025-11-17
  • With accelerated population aging and widespread arteriosclerotic cardiovascular risk factors, the incidence and prevalence of cardiovascular diseases in China have continued to rise. Cardiovascular diseases remain the leading cause of death among urban and rural residents in China, with the economic burden of atherosclerotic cardiovascular disease (ASCVD) increasing steadily. The ASCVD in the county area is faced with the dual challenge of high incidence rate and low management rate, and cardiovascular mortality rate in rural areas consistently exceeds that in urban areas. Promoting the construction of county-level medical communities is a key strategy to enhance the primary healthcare capacity, optimize the allocation of medical resources, and promote high-quality development of hospitals. In order to help the county-level medical consortium to establish a comprehensive cardiovascular disease whole-course management system, enhance service capacity and management efficiency for ASCVD in county areas, improve continuity of medical services, and improve patients medical experience, the County Chronic Disease Health Management Branch of China Health Promotion and Education Association, Institute for Healthy China of Tsinghua University, and The County Chronic Disease Health Management Institute of Wenzhou Medical University formulated expert recommendations based on the current clinical evidence, clinical practical experience and innovative management practice. This consensus addresses 12 key issues related to the whole-course management system of ASCVD within county-level medical consortium. This consensus includes service venue planning, configuration of software and hardware, establishment of service processes and standards, staffing allocation, design of service content, requirements and training for service personnel' s capabilities, and quality and efficiency management of services. The consensus highlights the value of management system construction, emphasizes practical guidance based on scientific principles, promoting the hierarchical diagnosis and treatment model featuring top-down linkage, integrating general and specialized services, and enhancing the management capabilities and continuity of ASCVD services at the county level.

     

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