For the permanent population aged 65 and above within the jurisdiction, community health service centers (stations) and other grassroots medical and health service institutions should provide/kloc-0 health management services for the elderly every year, understand the health status and lifestyle of the elderly through consultation, routine physical examination and auxiliary examination, and make corresponding health status assessment and health guidance. For patients with essential hypertension and type 2 diabetes who have been diagnosed, health management for patients with chronic diseases should also be carried out; Patients with other diseases (non-hypertension or diabetes) should be treated or referred in time; It is suggested that the elderly with abnormalities should be reviewed regularly or referred to higher medical institutions. At the same time, carry out vaccination, osteoporosis prevention, fall prevention measures, accidental injury prevention and self-help, cognitive and emotional health lifestyle and health guidance. After the physical examination is completed, you need to inform or make an appointment for the next health management service.
After each health check-up, relevant information will be recorded in the health file in time. For the elderly who have been included in the health management of chronic diseases, this health management service can be used as a follow-up service.