辽宁：筛查诊断治疗随访等家门口“一站式”解决

Core Viewpoint - The National Health Commission has released guidelines to enhance the capacity of grassroots chronic disease health management services, promoting a "one-stop" integrated service model for chronic disease management [1] Group 1: Guidelines and Implementation - The guidelines include core functions such as chronic disease prevention, diagnosis, health management services, referral, and information flow [1] - Health service areas and diagnostic areas are to be clearly defined, ensuring clear signage and smooth patient flow [1] - The integration of health professionals, including general practitioners, traditional Chinese medicine practitioners, public health doctors, pharmacists, and nurses, is emphasized [1] Group 2: Community Health Management Experience - The "one-stop" chronic disease health management area at the Changbai Community Health Service Center in Shenyang is operational, providing comprehensive services from screening to follow-up [2] - Residents like 72-year-old Shi Baoquan benefit from integrated services, receiving free lung function tests and medications at the community level, which enhances convenience [3][5] Group 3: Technological Integration - The use of digital tools allows for real-time monitoring and intervention for chronic disease patients, such as those with chronic obstructive pulmonary disease (COPD) [5] - The community health service center has upgraded its management from periodic follow-ups to real-time monitoring, timely warnings, and proactive interventions [9] Group 4: Future Directions - The focus will be on integrating prevention, diagnosis, and rehabilitation to provide comprehensive health management solutions at the community level [13]