慢病隨訪服務指對轄區內患有高血壓、糖尿病等慢性病的患者提供一般體格檢查，包括血壓、心率、脈率及血糖檢測等，同時通過了解患者服藥情況以及吸煙、飲酒、運動和飲食情況，指導幫助患者合理用藥、合理飲食、適量運動，以正確健康的生活方式，積極樂觀的心態，預防糖尿病、高血壓并發癥的發生，并向群眾宣傳國家基本公共衛生服務項目內容，讓群眾更加深入了解國家基本公共衛生服務的惠民政策。

Follow up service for chronic diseases refers to providing general physical examination for patients with hypertension, diabetes and other chronic diseases within the jurisdiction, including blood pressure, heart rate, pulse rate and blood sugar detection. At the same time, through understanding the patients' medication, smoking, drinking, exercise and diet, guiding and helping patients to use drugs, eat properly, exercise moderately, prevent the occurrence of diabetes and hypertension complications with a correct and healthy lifestyle, a positive and optimistic attitude, and publicize the contents of the national basic public health service project to the masses, so that the masses can have a deeper understanding of the national basic public health service policies for the benefit of the people.

　　慢病隨訪管理系統進一步落實國家公共衛生服務的慢性病管理工作，提升轄區慢病規范化管理的服務質量，及時掌控慢性病患者的病情，給予居民指導普及慢病防治知識。

The chronic disease follow-up management system further implements the chronic disease management work of national public health services, improves the service quality of standardized management of chronic diseases in the jurisdiction, timely controls the condition of chronic disease patients, and provides guidance and popularization of chronic disease prevention and control knowledge to residents.

　　通過開展隨訪工作，使越來越多的居民掌握高血壓和糖尿病等慢性病的防控知識，減少高血壓、糖尿病等慢性病并發癥的發生。

Through follow-up work, more and more residents will master the knowledge of prevention and control of chronic diseases such as hypertension and diabetes, and reduce the occurrence of chronic disease complications such as hypertension and diabetes.

　　醫護人員“零距離，心貼心”的服務贏得了患者的認可與信賴，并且提高了慢性病人群參加定期隨訪查體的積極性和主動性。

The "zero distance, caring" service provided by medical staff has won the recognition and trust of patients, and has increased the enthusiasm and initiative of chronic patients to participate in regular follow-up and physical examinations.

　　以上就是有關：慢病隨訪管理系統 的介紹，想了解更多的內容請點擊：http://www.jiangongtianxia.cn 我們將會全心全意為您提供滿分服務，歡迎您的來電！

The above is an introduction to the chronic disease follow-up management system. To learn more, please click: http://www.jiangongtianxia.cn We will wholeheartedly provide you with full score service. Welcome to call us!