Disease management encourages the effective integration of prevention, treatment and education, guides patients to strengthen self-management, improves lifestyle habits, promotes communication and collaboration among doctors, patients and third-party health services, strengthens disease control, prevents deterioration of the disease, and ultimately controls the overall cost of healthcare.
Disease management involves all aspects of chronic disease prevention, treatment, care, education, management, and services, and requires full cooperation among doctors, nurses, and patients in the treatment process.
In addition to medical care, manufacturers of medical devices/pharmaceuticals are able to utilize their respective strengths in disease management to enhance efficacy and customer satisfaction by providing patients with knowledge of their products. At the same time, health service providers can complement healthcare organizations by helping patients to develop personal plans for health management, promoting self-management and improving quality of life.
Functions of the Chronic Disease Management System
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Community Diagnosis and Treatment Collaboration Network
"Two-way referral and resource optimization" is one of the main themes of the ongoing healthcare system reform. In order to further expand their own advantageous business, some large hospitals are trying to realize this model by cooperating with community health centers. However, most general hospitals still lack an information platform that allows them to share their medical records with community hospitals, making it impossible for them to interconnect their patients' medical information.
Generally, this type of system adopts mature and advanced cross-platform database technology, which can help hospitals establish a safe and efficient diagnosis and treatment data center. Combined with their own full network operating characteristics, large hospitals can quickly establish a chronic disease diagnosis and treatment information network that radiates to community health service centers, realizing point-to-point collaboration between departments and laying the groundwork for high-quality medical resources to achieve regional **** enjoyment. On this platform, general hospitals and community hospitals can carry out a variety of ways of communication and interaction and diagnosis and treatment collaboration, so that patients with chronic diseases can get good medical services and health care guidance nearby, and create conditions for hospitals to expand their business and improve their income.
Electronic medical records
Long-term systematic medical record management is the foundation of disease management. The system keeps the patient's basic information (life history, allergy history, past history, family history), every treatment record (symptoms, diagnosis, medical checkup results, medical prescription), and all the test results (clinical tests, special tests, picture reports). With this type of system, hospitals can quickly establish lifelong electronic medical records for patients with chronic diseases.
Establishing an electronic medical record does not require a lot of text entry and does not increase the working hours of doctors and nurses. In daily diagnosis and treatment, doctors can simply select the appropriate content through the medical record dictionary and record it easily. Nurses can also take advantage of the patient's waiting time to quickly enter various test results through a centralized input interface.
At the same time, this type of system can also help hospitals establish automatic test data collection interfaces through cooperation with LIS manufacturers, further reducing workload and improving efficiency.
Multi-angle efficacy evaluation
Efficacy evaluation is a core element of disease management, and doctors are always concerned about the treatment of patients. However, in the face of the accumulation of prescription reports, it is difficult for doctors to make a quick and accurate assessment.
To this end, this type of system provides a variety of methods from multiple perspectives, not only by means of graphic curves and other visual means of expression, visualizing the changes in a series of indicators that are closely related to the treatment, but also by providing a comprehensive means of evaluation of drug dosage and cross-correlation of test indicators, as well as changes in the course of the patient's disease over the medium- and long-term, to help doctors both accurately grasp the efficacy of the treatment.
Patients' daily management
Chronic disease patients often measure their own blood glucose and blood pressure, but generally lack the awareness of regular record-keeping, resulting in low utilization of these basic data, which can't help doctors make effective diagnoses. In addition to taking medications as prescribed by their doctors, patients also need to follow their doctors' instructions to control their diets and exercise, and to quit smoking, drinking, sleeping late, waking up late, and other bad habits in order to cooperate with their treatments, but doctors are often unable to get a full picture of how well their patients are doing in carrying out their diagnoses.
In order to change this situation, through the special interface of this type of system, doctors can view the patient's medication diary, self-test results, dietary records, and exercise diary recorded on the health management network to grasp the patient's self-management status. Doctors will not only be able to make judgments based on the fragmented test results of each visit, but will also be able to learn more about the factors affecting treatment from the patient's daily life management, and formulate more targeted diagnostic and therapeutic plans.
Research Data Retrieval
Whether it's research or clinical trials, writing a paper needs to be based on data. In the past, medical records scattered in the hands of patients could not help departments obtain the required data, and it was time-consuming and labor-intensive to turn the paper data collected temporarily by human tactics into electronic data that could be directly counted, which affected the smooth progress of the research work.
Through the electronic medical record, the department is able to plan ahead and systematically collect research data. To further speed up data analysis, such systems also provide powerful statistical functions to help physicians quickly retrieve data and ultimately generate data files that can be seamlessly linked to statistical software to aid in medical research.
Personalized patient guidance
Bad habits, such as poor diet and lack of exercise, are the main reasons for the dramatic increase in the number of patients with chronic diseases and the difficulty in controlling their conditions effectively. Instructing patients to cooperate with healthy diet and reasonable exercise is a prerequisite for promoting patient self-management.
These systems help doctors and nurses to formulate personalized treatment plans and goals for patients' individual conditions and needs, so that patients can fully understand the goals of treatment, the arrangements and precautions for diet and exercise, and the methods of taking and contraindications to medication. At the same time, through the standard calorie analysis function, this kind of system helps each patient to calculate the ideal body weight, body mass index (BMI), project the standard calorie and print the recommended recipes, solving the problem of "what to eat and how to eat" that the patients are most concerned about.
Patient education
Doctors have to face a large number of patients every day, and each patient's consultation time is often only a few minutes. On the one hand, they have to write medical records and prescriptions, and on the other hand, they have to deal with all kinds of problems from patients, so it's hard to make both ends meet. However, if patients do not fully understand their own illnesses and do not have enough knowledge, problems such as compliance will also directly affect the effectiveness of treatment.
In order to resolve this conflict, the system helps doctors and nurses to break down the educational content into different categories and disperse it into various programs and prescriptions. During the daily diagnosis and treatment process, doctors and nurses can explain or print according to the patient's individual situation, thus accomplishing the important work of patient education within a limited time.