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Huo Yong: establishment of follow-up management system for key chronic disease patients

Follow up management of patients with cardiovascular and cerebrovascular diseases after discharge has proved that it can effectively help patients manage high-risk factors, prevent progression of disease or recurrence of events, promote rehabilitation and is economical and effective. Huo Yong, director of the CPPCC National Committee and director of the heart center of No.1 Hospital of Peking University, suggested that the medical insurance management should be included in the hospital's medical service projects in a timely manner so as to better achieve "prevention first, prevention and cure combination".

Huo Yong believed that for a long time, the inpatient was discharged from the hospital, and there was no sustained and effective management of chronic disease. Some patients with high risk of cardiovascular disease, due to limited knowledge of their own diseases and inadequate control of risk factors, lead to re hospitalization, exacerbation or even death. He suggested that the National Health Insurance Bureau formulate relevant policies, promote the establishment of follow-up management system for key chronic diseases patients after discharge, determine the range of disease coverage and management contents, improve the medical service fees and payment system, and embody the compensation mechanism for the follow-up management of key diseases in a reasonable and sustainable manner through the payment of medical insurance awards or subsidies in the form of remuneration standards for medical personnel. This follow-up management policy and compensation system can encourage the joint management of patients in the medical Confederation and the medical community, and clarify the functional attributes, stratified cooperation and collaborative management of patient management in the three hospitals, the two hospitals and the primary medical institutions. In addition, we should encourage the active use of technology such as "Internet +" and make use of China's relatively mature block chain technology to create network services such as internet medical slow disease service and medical insurance payment.

Author: Liu Yuanyuan       Editor in chief: Liu Xiaosi
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