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Effect of Accurate Hierarchical Diagnosis and Treatment for Special Diseases: a Case Study of Chronic Kidney Disease

Authors :
ZHU Haiyan, WANG Chaoxin, SUN Wanju
Source :
Zhongguo quanke yixue, Vol 26, Iss 06, Pp 749-753 (2023)
Publication Year :
2023
Publisher :
Chinese General Practice Publishing House Co., Ltd, 2023.

Abstract

As an important measure to improve the supply of essential health services, the implementation of hierarchical medical system has encountered obstacles in different regions. Due to different referral standards in hospitals, temporal and geographical factors during treatment, it is difficult to promote the development of regional medical consortiums. Shanghai Pudong New Area People's Hospital, together with seven community health centers, established a Chuansha Medical Consortium, specifically for treating chronic kidney disease (CKD), using an accurate hierarchical management program for CKD supported by information technology, a hierarchical diagnosis and treatment system designed based on CKD management programs recommended by relevant guidelines, a CKD knowledge base in which medical information and referral criteria are incorporated, and a joint management model integrating hospital and community care. Empirical evaluation indicated that the hierarchical diagnosis and treatment model based on a CKD knowledge base could greatly contributed to accurately identifying vulnerable and high-risk population of CKD, timely screening and assessing patients with early stage CKD, and improving the efficiency of health management and diagnosis and treatment.

Details

Language :
Chinese
ISSN :
10079572
Volume :
26
Issue :
06
Database :
Directory of Open Access Journals
Journal :
Zhongguo quanke yixue
Publication Type :
Academic Journal
Accession number :
edsdoj.2fb4f45c826a44118957bf258b13855a
Document Type :
article
Full Text :
https://doi.org/10.12114/j.issn.1007-9572.2022.0643