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Year-end summary of chronic diseases
Year-end summary of chronic diseases

How time flies. A year's work has come to the end of the year. I have been confused, and more is hope and happiness. It is better to sum up your past work now and strive for new achievements in the coming year! In order to make you stop worrying about the year-end summary, the following is my year-end summary of chronic diseases for reference only. Welcome to reading.

1 20xx Year-end Summary Under the correct leadership of the County Health and Family Planning Bureau, under the careful guidance of the Municipal Center for Disease Control and Prevention, relying on the disease prevention and control system at the county, town and village levels, and taking basic public health projects as the starting point, we will improve the long-term mechanism of chronic disease management, constantly innovate working methods, and scientifically and effectively carry out chronic disease monitoring. Widely publicize the knowledge of prevention and treatment of chronic diseases, actively implement the discovery and behavioral intervention of high-risk groups, advocate a healthy lifestyle for the whole people, standardize the management of key patients such as hypertension and diabetes, and implement the "eight major actions" for disease prevention and control. The comprehensive prevention and treatment of chronic diseases in our county throughout the year is summarized as follows:

First, the government takes the lead, multi-sectoral cooperation, and high-quality evaluation of demonstration counties for comprehensive prevention and treatment of chronic diseases.

First, the county government regards comprehensive prevention and control of chronic diseases as a systematic project that benefits people's livelihood. According to the personnel changes, the office of the county leading group for comprehensive prevention and treatment of chronic diseases updated the leading group for comprehensive prevention and treatment of chronic diseases in a timely manner, with the deputy secretary of the county party committee and the county magistrate as the team leader, the standing deputy county magistrate and the competent deputy county magistrate as the deputy team leader, and the heads of the Propaganda Department, Development and Reform Bureau, Health Planning Bureau, Finance Bureau and Education and Sports Bureau as members. The general office of the government has issued a series of documents, such as the Evaluation Scheme for Comprehensive Prevention and Control of Chronic Diseases.

Second, the county assessment office decomposed and issued the assessment objectives and tasks of the national demonstration counties for comprehensive prevention and control of chronic diseases in 20xx, and the county government, towns and departments signed the responsibility book for comprehensive prevention and control of chronic diseases in 20 years. All departments adhere to the policy of "integrating health into all policies", and formulate relevant policies and systems such as tobacco control, salt reduction, harmful drinking, oil control, weight control and national fitness in combination with the actual situation of their own units.

Third, according to the actual situation of the county's medical and health institutions, the County Health Planning Commission made overall arrangements for county people's hospitals, traditional Chinese medicine hospitals and maternal and child health hospitals, covering the business training of chronic diseases in township hospitals. County CDC, as the guiding unit of comprehensive prevention and treatment of chronic diseases in the county, deployed three business backbones to engage in the prevention and treatment of chronic diseases full-time under the condition of tight professional and technical personnel.

Fourth, the consolidation and upgrading of demonstration counties has been continuously strengthened, and the county has been re-approved as a demonstration county for chronic diseases. Through unremitting efforts, our county has been re-recognized as a national demonstration county for comprehensive prevention and treatment of chronic diseases, and has achieved remarkable results in consolidating the achievements of the construction of national demonstration counties for comprehensive prevention and treatment of chronic diseases, improving the system and mechanism, and giving play to the role of demonstration and leading. Our county was named as one of the top ten demonstration counties for comprehensive prevention and control of chronic diseases by the National Health Planning Commission. As the only county in the central and western regions, we exchanged experiences at the promotion meeting of comprehensive prevention and control of chronic diseases held in Shanghai.

Second, the town government advocates, the whole people participate, and the national healthy lifestyle action is deeply rooted in the hearts of the people.

First, organs, enterprises and institutions in the county actively build fitness places for employees and purchase sports equipment. Conscientiously implement the intermittent exercise system so that cadres and workers can exercise for more than 20 minutes every day. Organized and held *** 1 1 times professional men's basketball competition, China table tennis club super league, hiking around the lake, and May Day workers' exercise competition in the county, with a strong national fitness atmosphere.

Second, since the publicity campaign of "reasonable diet and balanced nutrition" was launched in an all-round way, relevant departments have organized joint actions, carried out special inspections, actively publicized nutrition labels, and vigorously promoted healthy lifestyle actions such as balanced diet, moderate exercise, quitting smoking and limiting alcohol, and reducing oil and salt. More than 10 times.

Third, the atmosphere of tobacco control activities in the county is strong. Adhere to the inspection and publicity system of tobacco control week, and 43 smoke-free units have been built in the county, with a coverage rate of 100%.

Fourth, our county was successfully established as a provincial-level national fitness demonstration county this year, which played a leading role in government performance, activities, facilities construction, sports events, health guidance and so on. This year, health creation activities have been carried out in a solid manner, with 2 new health schools and 5 health villages.

Third, strengthen training, refine assessment and standardize the prevention and control of chronic diseases.

First, strengthen the management of target responsibility system. Combined with the actual work, according to the principle of paying attention to details, quantifying business and facilitating management, the center signed a basic public health project management target responsibility letter with the county bureau and various medical and health units as the main content. As an important part of disease control, chronic diseases account for a large proportion.

The second is to increase personnel training. The center conducted eight special trainings on chronic disease prevention and treatment throughout the year, with a total of 480 participants. In particular, with the theme of the training of management guidelines for prevention and treatment of hypertension at the national grass-roots level, training courses for county-level grass-roots specialized cadres and rural medical knowledge were held. Throughout the year, four special training courses on chronic diseases were held, with the contents of new indicators in the demonstration area of comprehensive prevention and control of chronic diseases, national public health project specifications (third edition) and four major monitoring work, with training 120 person-times, which further improved the professional level of three-level disease control personnel in our county and township.

The third is to urge county-level medical institutions (county hospitals, traditional Chinese medicine hospitals, and women's health care hospitals) to provide technical training for chronic disease management staff in the town twice, which has promoted the exchange of knowledge on prevention and treatment of chronic diseases in the county and comprehensively improved the health guidance ability of grassroots medical and health institutions for patients with chronic diseases.

Fourth, the assessment adopts the assessment mode of combining quarterly assessment with key supervision, * * * carries out key supervision for 6 times, assesses the work completion of each unit on a quarterly basis, and pays public health funds in strict accordance with the workload. Put forward the rectification time limit for the problems found in the supervision and evaluation, and urge the rectification within a time limit. Fifth, the Detailed Management Plan for Basic Public Health in Qianyang County and the Guidelines for Disease Control in Qianyang County were revised, which improved and standardized the professional skills of chronic disease workers in the county.

Four, based on reality, various forms, health education has achieved remarkable results.

First, our county has adopted various forms such as television, radio, short messages, bulletin boards, knowledge lectures, and chronic disease health publicity days to carry out publicity and education on the prevention and treatment of chronic diseases in an all-round, multi-angle and wide-ranging way. Relying on rural temple fairs, fairs and other opportunities, combined with the characteristics of large traffic in major public leisure places in urban areas on legal holidays, we have organized personnel to set up exhibition boards, distribute publicity materials, broadcast audio-visual materials, test health indicators and accept inspections for free.

Second, chronic disease prevention and control technicians went deep into schools to train health teachers in all primary and secondary schools and kindergartens in the county, and put forward clear requirements for school health education coverage, kindergarten health lectures, dental caries filling rate of primary school children and pit and fissure sealing rate of children who meet the indications.

Third, combining the prevention and treatment of chronic diseases with accurate poverty alleviation, we have produced 2,000 health knowledge manuals containing 66 items of residents' health literacy and distributed them to every poor household, in an effort to curb the phenomenon of returning to poverty due to chronic diseases. More than 20 pages of publicity pages of national public health projects with chronic disease prevention and control knowledge as the main content were produced, mainly to publicize the knowledge of chronic disease prevention and control in deep poverty-stricken villages (Duanjiawan Village, Shangdian Village, Shang Ping Village and Baicunsi Village).

Fourthly, according to statistics, in the past 20 years, there have been 6 large outdoor billboards, 0/34 billboards, 430 content changes, more than 200 banners, more than 80,000 leaflets printed, more than 6,000 posters posted, 5,000 knowledge manuals distributed, audio-visual materials played for more than 6,000 hours, and 65,438+publicity materials set up. The medical and health units in the county took advantage of the health education propaganda position to carry out effective publicity activities, which improved the awareness rate of chronic disease knowledge and the formation rate of health behavior of the people in the county.

Five, solid screening, early intervention, high-risk population intervention has achieved initial results.

First, all medical units strictly implement the system of blood pressure measurement for the first diagnosis of people over 35 years old. All units set up self-service detection points for health indicators in the outpatient hall, carry out screening for high-risk groups, classify and register the screened high-risk groups and patients, establish health files according to different groups, and find high-risk groups and patients with chronic diseases early, so as to achieve early detection, early intervention and early management. Second, actively implement intervention measures, adhere to the working principle of moving forward and sinking, and fully implement intervention measures.

This year, 4,655 people from 288 institutions, enterprises and institutions in the county conducted a comprehensive physical examination. Various forms of intervention activities have been carried out for high-risk groups of chronic diseases, and all patients have implemented responsible medical personnel and given standardized management.

Six, actively explore and strive to improve the quality of chronic disease monitoring data.

First, by the end of 65438+February, the county had reported a total of 88 deaths1case, with an estimated annual crude death rate of 7‰, a timely reporting rate of 97%, an audit rate of 100%, and a complete filling rate of multiple death chains of 100%. 367 cases of tumor were reported, the incidence rate was 29. 2%, regularly carry out supplementary reports on cases of death and tumor underreporting.

Second, according to the unified arrangement of provinces and cities, the data of tumor incidence and death in this county for 20 years were reported to the provincial CDC in June 5438+ 10, and the data of tumor incidence and death for 20 years were reported to the national tumor database after collation in April. Cardiovascular and cerebrovascular events were reported as required, and 4058 cases were reported throughout the year.

The third is to standardize the work of monitoring points. County People's Hospital, Nanzhai Central Health Center and Shigou Health Center insist on reporting chronic disease report cards, monthly reports and death report cards every month, and the center will report them to the city center after summarizing them. According to statistics, 262 cases of hypertension, 249 cases of stroke, 54 cases of coronary heart disease and 367 cases of malignant tumor were registered and managed throughout the year.

Seven, clear requirements, detailed services, the national basic public health project services continue to strengthen.

First, solidly carry out the service management of the national basic public health chronic disease service project, and strengthen the standardized management of patients with hypertension and diabetes. Improve the detection, screening, registration and management system of patients with chronic diseases, and insist on updating the data of hypertension, diabetes, illness and death in the jurisdiction every month. Face-to-face follow-up was conducted every quarter, and physical examination was conducted once a year 1 time. All patients with hypertension and diabetes in this hospital were entered into the regional public health information platform, and the paper files and system platform were managed, which realized the informationization of chronic disease patient management.

Second, vigorously promote patient self-management. The county has established a 10 1 patient self-management team, which has achieved professional guidance for chronic diseases by professionals and guided patients to self-treatment and rehabilitation management, and achieved good results.

Third, combined with the implementation of the basic public health service equalization project, the advantages of the health service network at the county, town and village levels were brought into play, and the activity of "township doctors signing service" with "medical service, public health service, follow-up service for key populations, health assessment and health education" as the main content and chronic disease service management as the main content was carried out.

Through health filing, the patients with chronic diseases such as hypertension and diabetes in the county are recorded in detail, and door-to-door service, regular follow-up and medication guidance are provided to make the management of patients with chronic diseases more standardized.

Year-end summary of chronic diseases 2 In order to conscientiously implement the overall requirements of chronic disease prevention and control work, we actively participated in the establishment of the "Demonstration Zone for Comprehensive Prevention and Control of Chronic Noncommunicable Diseases", combined with the characteristics of our bureau, implemented and strengthened the popularization of knowledge on chronic disease prevention and control, and helped employees to establish a correct health concept and adopt a healthy lifestyle. Adhere to the people-oriented principle, carry out extensive and in-depth health education for the whole people to ensure people's health.

First, set up institutions to implement work responsibilities.

In order to strengthen the guidance on the prevention and treatment of chronic diseases, a leading group for the prevention and treatment of chronic diseases was established, with the director as the group leader, the deputy director as the deputy group leader and the heads of relevant departments as members. Instruct the office to take the lead in organizing and implementing the prevention and treatment of chronic diseases, clarify the responsibilities and tasks of each department in the prevention and treatment of chronic diseases, and incorporate relevant work into the annual management objectives and performance appraisal of each department.

Two, strengthen the construction of propaganda positions for comprehensive prevention and treatment of chronic diseases.

Pay attention to the construction of propaganda positions for comprehensive prevention and treatment of chronic diseases, set up fixed health education publicity columns, and change the contents of the publicity columns regularly. The contents include smoking is harmful to health, knowledge of planned immunization, adolescent health care, prevention and treatment of common chronic diseases, food hygiene and knowledge of disease prevention according to seasonal changes. , increased the health knowledge of all employees, improved health awareness and healthy behavior, promoted the change of unhealthy behavior, and promoted the in-depth development of health education.

Third, carry out publicity and education, and organize physical examinations for employees.

1. Carry out targeted health education, popularize knowledge of prevention and treatment of chronic diseases, and advocate healthy lifestyles such as reasonable diet, moderate exercise, quitting smoking and alcohol, and psychological balance. , reduce risk factors. Offices and trade unions organize employees to take advantage of holidays and weekends to carry out national fitness activities such as badminton competitions and walks, and organize employees to have physical examinations every two years to effectively prevent and control chronic diseases.

2. Actively respond to the call of "providing all-round periodic health services for the people" and "advocating a healthy and civilized lifestyle and preventing and controlling major diseases". Carry out the fourth "10,000 steps with an appointment" walking incentive competition.

Fourth, advocate healthy living and make good plans.

1. Carry out a balanced diet of "three reductions and three health" (reducing salt, oil, sugar, healthy mouth, healthy body weight and healthy bones) and tobacco control, formulate a detailed tobacco control plan, and implement tobacco control activities on a global scale.

2. Carry out interval exercise activities, formulate interval exercise activity plans, and the office organizes cadres and workers of the Bureau to take 10 minutes for interval exercise every working day in the morning and afternoon.

3, the construction of smoke-free party and government organs, and earnestly do not put cigarette butts and ashtrays in the office area. In order to improve the awareness of cadres and workers on smoking ban and create a smoke-free, healthy and safe office environment in the jurisdiction. I posted no-smoking signs in office areas, conference rooms and other eye-catching areas to publicize the dangers of smoking to cadres and workers and understand the significance of tobacco control, so that the majority of workers can gradually form good living habits.

Year-end summary of chronic diseases in 3 20xx, in order to advocate a healthy lifestyle and prevent and control chronic diseases, donghu street Office actively and extensively carried out the prevention and control of chronic diseases and the promotion of healthy lifestyles, closely focusing on the work deployment and requirements of building a national demonstration zone for comprehensive prevention and control of chronic diseases in our district, and combining the daily work and highlights of the streets,

I. Main Work

(a) to carry out a solid "national healthy lifestyle action".

With the promotion of healthy lifestyle as the main goal, publicize the main points of healthy lifestyle and promote the "full name of healthy lifestyle action" to the basic public. In 20xx, our street * * * established six national healthy lifestyle action health communities with a coverage rate of 66%. Healthy communities are equipped with health self-service testing equipment (in the social health center). At present, six communities have carried out healthy family selection/health literacy contest activities.

(two) to carry out extensive health education and publicity.

In the past 20 years, * * * has held 38 community health talks on chronic diseases and healthy lifestyles. Update the health bulletin board in time, so as to update it once a month. Actively cultivate community mass fitness groups and enrich residents' cultural and sports life. In the past 20 years, there have been 23 fitness teams in 9 communities in donghu street, involving Tai Chi teams and dance teams. Carry out self-health management group activities with community health service centers to encourage community patients with chronic diseases to actively participate in community self-health management activities. At present, there are 10 self-management groups in the community, with a coverage rate of 93%. Nine communities in the street carried out oral prevention and treatment activities *** 14 times this year.

(3) All-round development of community environment.

First, upgrade and transform community parks, increase healthy lifestyle billboards, and update the contents of healthy lifestyle billboards.

Second, on the basis of the existing national fitness, continue to expand the fitness team and speed up the construction of 15 minute fitness circle. The coverage rate of 15 minute fitness circle in 9 communities within the jurisdiction will reach 100%.

Third, actively promote the construction of smoke-free environment, and the coverage rate of smoke-free environment is 100%.

(4) Broaden the scope of radiation prevention and treatment of chronic diseases.

This year, * * * held 17 large-scale publicity activities, including health knowledge into thousands of families on New Year's Day and Spring Festival, health and health "two sessions and one program" activities, tuberculosis prevention knowledge publicity, occupational disease prevention lectures, paying attention to the health of floating population, signing a family doctor publicity activities and so on. , with more than 65,438+0,530 participants. Various communities have carried out various health promotion activities according to their own work needs. Small-scale health education activities were carried out 85 times throughout the year, and various publicity materials and promotional materials were distributed 13000 copies. Free physical examination was given to the registered elderly over 60 years old in the jurisdiction, and 924 people who registered for physical examination have all completed the physical examination. Hold various cultural and sports activities such as the talent show of the happy elderly, the painting and calligraphy contest of the happy elderly and the fishing contest. Actively carry out rich and varied, healthy and beneficial cultural and sports activities for the elderly, and constantly enrich the spiritual and cultural life of the elderly.

(5) Improve residents' health literacy.

First, use street marriage and childbearing schools, community fertility cultural centers, and activity places of units under their jurisdiction to provide health publicity materials and broadcast health knowledge videos.

The second is to invite health education lecturers to go deep into various communities, enterprises and schools to carry out roving lectures on health education. The main contents are occupational disease prevention, citizens' health literacy, mental health, AIDS prevention, maternal and child health care, elderly health care and other knowledge, and vigorously popularize basic health knowledge among residents.

The third is to hold a knowledge contest on residents' health literacy. In July, 2000, donghu street residents' health literacy knowledge competition was held, which was widely publicized in various communities, and residents were mobilized to participate in the competition as a family, and bonuses and certificates were awarded to families who won the first, second and third prizes.

Second, the next work plan

(a) to further unify thinking, improve the street leading group system for the prevention and treatment of chronic diseases, compact responsibility, division of labor to people, and ensure the effective implementation of all work.

(two) closely around the goal of chronic disease prevention and control, formulate and refine the implementation of work plans and measures. Promote the institutionalization, standardization and scientific prevention and treatment of chronic diseases.

(3) Strengthen the publicity of health knowledge, realize the whole process and full coverage, guide residents in the jurisdiction to establish the concept of health awareness, form a pattern of great health work, improve the level of health literacy, and help build a "healthy Luohu".

(four) to carry out the combination of medical care and nursing, hold a health literacy knowledge contest for residents, promote the publicity activities of contracted family doctors, and let residents enjoy basic public health services.

(five) widely carry out health talks, publicity activities and environmental creation and other forms, and actively guide residents in the area to establish a healthy concept, establish a healthy lifestyle, and improve the quality of healthy life.

(6) Continue to publicize the physical examination of the elderly in Luohu District, check and fill the gaps for the elderly in the community, and try to let the elderly enjoy this welfare.

Year-end summary of chronic diseases 4 With the development of social economy, the improvement of people's living standard, the change of people's lifestyle and the aggravation of population aging, chronic non-communicable diseases have become killers endangering people's health, with high incidence, long course of disease, hidden lesions, many complications and high disability rate, which seriously endanger people's quality of life and life safety and become a heavy burden on society. In order to prevent the long-term harm of chronic diseases and serious complications, our hospital tracked the situation according to the instructions of relevant documents in the district. After several months of work, I will summarize my work.

1, establish residents' health records and screen chronic diseases.

Since August, our hospital has started to establish residents' health records in 29 administrative villages in the township. The hospital has sent a physical examination team to conduct free physical examination for villagers in the village clinic, including: measuring height, weight and blood pressure; Blood sugar, blood routine, B-ultrasound, electrocardiogram and chest X-ray; Consult the physical examination personnel about their past medical history, diet, exercise, smoking and drinking, and diagnose whether they have chronic diseases according to the physical examination results. Patients diagnosed with chronic diseases or found to have chronic diseases by physical examination should put corresponding labels on their file bags. Hypertension is red, coronary heart disease is yellow, stroke is blue and diabetes is green. Patients with hypertension and diabetes are included in the management norms of chronic diseases. Physical examination found that there were 204 patients with hypertension 1029, an increase of 48 1 person, accounting for 22. 1% of the registered cases, and 204 patients with diabetes, an increase of 73 people. This shows that the incidence of hypertension and diabetes in my hometown is high and the detection rate is low. In the future, we should strengthen publicity and health education, let hypertensive patients take the initiative to measure their blood pressure, and let farmers consciously change their bad habits.

2. Register the flower names of patients with chronic diseases.

According to the registration of chronic diseases in village clinics, the number of patients with chronic diseases was collected and counted. The number of patients with hypertension is 548, and the number of patients with diabetes is 13 1. However, according to the statistical results of residents' health records, there are 1030 patients with hypertension and 204 patients with diabetes. This shows that the number of applicants before us is a bit conservative, and the statistical value is low, which shows that we failed to find it in time.

3, the implementation of the first outpatient blood pressure measurement.

According to the requirements of "Health Management Service Standard for Patients with Hypertension", the blood pressure of the permanent residents aged 35 and above in this township was measured when they first visited the village clinics of township hospitals. Blood pressure first found >: residents with 140∕90mmHg will make an appointment for reexamination after excluding the factors that can lead to blood pressure increase. If their blood pressure is higher than normal for more than three times in the same day, they can be initially diagnosed as hypertension and included in the management of chronic diseases. In this work, according to the instructions of our superiors, we have strengthened the construction of the 35-year-old blood pressure measurement system, and the number of outpatients with blood pressure measurement has increased significantly.

4. Training rural doctors.

Our hospital responded to the call of superiors and carried out public health training for rural doctors in the township. The training lasted for half a month, including knowledge of hypertension and diabetes, health management of patients with hypertension and diabetes. Rural doctors and all hospital staff watched the video of Professor Zhang Huimin from Fuwai Cardiovascular Hospital, from guide to practice-the treatment and development of hypertension drugs. Through training, township and village medical staff have improved their understanding of hypertension and diabetes.

5. Follow up on time and fill in the follow-up record.

Chronic diseases have a long course and many complications, which require long-term medication, so the follow-up is chronic diseases.

The key point of management is to choose outpatient service, family and telephone follow-up to understand the symptoms and lifestyle changes of patients, measure weight, blood pressure, blood sugar, heart rate and pulse of dorsal artery of foot, understand the medication situation of patients, and carry out targeted treatment according to the specific situation of patients.

6, high-risk population statistics of hypertension

The high-risk groups that meet the following criteria are: (1) obese (body mass index > 28) or overweight (body mass index > 24) (2) smoking; (3) long-term heavy drinking; (4) Hyperlipidemia: (5) Family genetic history of hypertension; The total number of people who meet the above risk factors is 3 15. The next step will be to gradually increase the screening of people at high risk of diabetes. And do a good job of registration.

7. Actively strengthen health education on chronic diseases.

As the saying goes, "the disease comes from the mouth", and unhealthy lifestyles such as smoking and drinking will have an impact on hypertension. Some residents in my township still have the concept of "no disease is health" and have insufficient understanding of hypertension. To this end, our hospital organized 12 health talks throughout the year, mobilized all doctors to tour the countryside, and told the villagers about the prevention and treatment of chronic diseases, health care for the elderly, health care for women and children, etc. The hospital is equipped with a laptop and a hospital.

8. Work experience

Although I haven't been working for a long time, I have deeply realized from these months' work that the responsibility I shoulder is great and the work of chronic diseases has a long way to go. At the same time, I also realized the farmers' demand for health. I learned from my work that the incidence of chronic diseases in rural areas is high, but the situation of patients taking drugs to treat diseases is not optimistic. There are some problems such as unhealthy lifestyle, nonstandard treatment and poor compliance with medication. Therefore, it is very important to strengthen effective health education for patients with chronic diseases in rural areas and improve their disease knowledge and treatment compliance. It is also the key to control chronic complications and reduce disability and mortality. At present, the epidemic characteristics and prevention status of hypertension are still three highs (high incidence rate, high disability rate and high mortality rate), three lows (low awareness rate, low treatment rate and low control rate) and three noes (unwilling to take medicine and uncomfortable not to take medicine). Therefore, it is possible to carry out various forms of health education, change bad habits and behaviors, promote their active and standardized treatment, improve their own health maintenance ability and improve treatment compliance. In rural areas, there is great blindness in drug treatment of hypertension. Usually, patients take several similar drugs at the same time, and some people use antihypertensive drugs such as compound preparations at the same time, which undoubtedly increases adverse reactions, leading to poor antihypertensive effect or excessive blood pressure fluctuation. Many rural patients think that "chronic diseases are self-medication", and increasing or decreasing the types and doses of antihypertensive drugs by feeling often leads to sudden changes in blood pressure, and even serious consequences such as rebound hypertension and angina pectoris.

Outlook for 2020.

Next year, the chronic disease work should strengthen the standardized management of hypertension and continue to explore practical and effective standardized management mode of hypertension. Improve all relevant records, strengthen management, take hypertension as a breakthrough and accumulate experience, so as to promote the management of other chronic diseases and truly solve the pain for the masses.

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