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目的:探讨建立以社区为基础的慢性病管理机制。方法:文章从慢性病的形成、以社区为基础的慢性病管理的形成、社区慢性病管理的形式及具体方式等角度,对社区慢性病管理内容进行描述。结果:慢性病的形成过程复杂,以社区为基础的慢性病管理工作具有重要作用,开展多方面、多形式的工作,促进社区慢性病的管理,对于慢性病的防控具有重要作用。结论:开展以社区为基础的慢性病管理工作,可提高慢性病患者“自我管理”意识,抑制慢性病的发展,对于慢性病的防控具有重要意义。
Objective: To explore the establishment of community-based chronic disease management mechanism. Methods: This article describes the management of chronic diseases in community from the aspects of the formation of chronic diseases, the formation of community-based chronic disease management, the form of community-based chronic disease management and specific methods. Results: The development of chronic diseases is complex and community-based management of chronic diseases plays an important role in many aspects and forms of work to promote the management of chronic diseases in the community and play an important role in the prevention and control of chronic diseases. Conclusion: To carry out community-based management of chronic diseases can improve the consciousness of patients with chronic diseases and restrain the development of chronic diseases, which is of great significance for the prevention and control of chronic diseases.