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目的:通过一套现代医学与信息技术相结合的技术手段,根据健康评估中得出的疾病危险因素,探索一条对中老年进行个体化健康管理的模式,以便更早期、更全面的控制慢性疾病的发生及发展,从而达到减少服务对象罹患慢性病的危险性,减少医疗费用。方法:选择2005年8月~2007年8月的到我院健康管理中心体检的所有中老年人员,随机分为中年组(男性、女性),老年组(男性、女性),通过健康管理中心这个平台,利用综合手段,如健康教育宣传、电话咨询、电视、电台健康节目互动、互联网、健康管理门诊治疗、亚健康评估、心理治疗、社会生活方式指导等,对社区中老年人群进行个体化的健康管理。结果:使服务对象在管理后的管理率、知晓率、好转率、治疗率明显好于管理前,其危险因素明显低于管理前,统计学上有显著性意义,对慢性病预防和控制有一定意义。
OBJECTIVE: To explore a model for individualized health management of middle-aged and elderly people based on the disease risk factors derived from the health assessment through a set of modern medical and information technology technologies in order to control the chronic diseases earlier and more comprehensively So as to reduce the risk of clients suffering from chronic diseases and reduce the medical expenses. Methods: All the middle-aged and elderly people who went to our hospital from August 2005 to August 2007 for physical examination were randomly divided into middle-aged group (male and female) and old-aged group (male and female), passed the health management center The platform uses a combination of tools to personalize the middle-aged and elderly population in the community, such as health education promotion, telephone counseling, television, radio health program interaction, Internet, health management outpatient treatment, sub-health assessment, psychotherapy, social lifestyle guidance Health management. Results: The management rate, awareness rate, improvement rate and treatment rate of service subjects were significantly better than those before management, and the risk factors were significantly lower than those before management, which were statistically significant and had a certain effect on the prevention and control of chronic diseases significance.