Stroke Chronic Disease Management System Construction And Implementation

BackgroundAccording to the WHO statistics,2005 years about 3500 million people died of chronic diseases,60% of the total deaths of the world, and that in 2020 will rise to 70%. Equivalent to infectious diseases and progesterone production and perinatal disorders and nutritional deficiencies of the total number of deaths from two times,80% of which will take place in developing countries. Health minister proposed, if there is no effective preventive measures, China chronic disease will appear "blowout". Chronic diseases in China has become main public health problem, cardio-cerebrovascular disease, diabetes, cancer and other chronic cases about 2 billion people. The death toll of chronic diseases national due to illness accounted for more than 80% of all deaths. Among them, cerebrovascular disease has become China's urban and rural residents of deadly disease first. The rapid growth of chronic disease, Not only give a serious impact human health, Also to the world economy from a heavy burden. How to deal with the serious harm of chronic diseases, such as stroke, is the country's medical current urgent important problem.In a foreign country, health management is currently the most effective way of prevention and control the chronic. Chronic health management refers to the biological—psychological-social medical model as a guide, which is organization chronic professional doctors and nurses for people of healthy, chronic disease, and chronic disease risk, provide comprehensive, continuous, initiative and health management, so as to achieve health promotion, slow down the process, reduce the complications, lower disability rate, prolonging life, and improve life quality, simultaneously reduce health-care costs for the purpose of a scientific health management mode. In recent years, domestic also gradually began to chronic health management research, but the theoretical research and technology application startting late, and foreign health management have quite the gap. Service mode of a single, blind copied western experiences of developed countries, health management network information technology application has not been popular.Chinese medicine control chronic disease have a unique advantage, especially in the treatment of stroke, has accumulated rich experience. Traditional Chinese medicine has always attached great importance to "cure is not ill" thought, and use the unity of nature and the overall view, also describes the dynamic the dialectical outlook for YinRenZhiYi guidance to maintain the health of human beings. Dialectical treatment can objectively described and evaluated thinking health state change process of disease, not only can evaluate the risk factors, more can from overall condition for personal health measure and intervention. TCM characteristic diagnostic methods with more can enrich the content of modern health management.Chronic health management system is an effective health management tools necessary, at present domestic application in health management software composed of three main categories:one kind is healthy check-up information management system, another kind is the health risk assessment software system, the third kind is mission and intervention system, which is studies more follow-up in recent years, But the real clinical slow disease management application for the comprehensive information system with Chinese characteristics is very little, the chronic health management system also has not been set up for stroke for management of chronic illness, TCM health management system more rare.With chronic health management gradually spread, there will be a large variety of clinical data form, the traditional manual handling chronic health management already cannot satisfy the demand, especially scale the quanlitative syndromes, symptoms and TCM type of constitution information, and quantitative laboratory index and image data such as function test information of generation, the traditional manual analysis approach time-consuming litigation, cannot assure health management business quality and efficiency. As health management network of the development of information technology, the TCM characteristic with chronic diseases, network, and scale, systematic management is the urgent needs of our chronic disease prevention.Objectives This paper studies the theory and empirical studies under the guiding principle combined with clinical literature research, through actual demand survey, using Delphi method, prepare stroke chronic health management system requirements analysis report, and system construction of the detailed design proposal, use modern computers and information technology, developing a set of TCM characteristic, set with diagnosis and follow-up, mission in the integration of, systematic, intelligent, networked stroke chronic health management information system, constructing the stroke of chronic management research information model, so as to achieve all-round, continuous, active health management to stroke patients, so as to achieve to promote health, to delay the disease process, reduce the complications and reduce disability rate, prolong life and improve the quality of life, and reduce the purpose of medical expense.DesignThis research is divided into four parts, the first part is the literature research, mainly for stroke chronic health management related literature collecting, sorting and analyzing on the domestic, and the health management software development situation analysis. The second part to expert consultation as main means, for more comprehensive stroke chronic health management system requirements analysis and feasibility analysis, system construction demand plan formulated. The third part to demand analysis in Chinese medicine theory as the basis, the professional guidance system functional modules of the system, and the detailed design of the basic structure and realizing database, complete system software development. The fourth part use the information system we developed in Guangdong hospital of traditional Chinese medicine, cerebrovascular disease center to find problems and trial run, further improve the system.ResultPart one(1) To analysis of our country stroke chronic health management research situation. Overall, the grim situation in chronic diseases prevention and cure disease has become China's residents stroke mortality first diseases; Domestic to stroke disease health management basic research for stroke patients insufficient still, the behavior of education and its investigation and health effect evaluation of the lack of research such as. To stroke patients health management foundation database is yet to be established, a characteristic of traditional Chinese medicine health assessment, health needs, health management model and system theory frame of study also relatively small. (2) Summarized the health management of traditional Chinese medicine research progress of chronic diseases; Heal is not ill health management ideas and stroke theoretical studies of chronic diseases; And chronic health management means and intervention methods TCM assessment. (3) Analysis of the current domestic health management software development situation, there are three major types, a medical information management system is; second is health risk assessment software system; The third category is mostly for follow-up software, management for periodic follow-up crowd, functions as remind, information sent primarily. But really suitable for chronic health management integrated clinical information management system of TCM characteristic is less, have chronic health management system stroke has not been set up. (4) The necessary of setting up TCM characteristic of chronic disease management system for stroke detail.Part two(1) The paper summarizes the problems existing in the system of chronic disease management and our lack of chronic disease management system stroke, formulate the overall demand system construction, system function, the system performance objectives and goals and make the feasibility analysis, system design general principles. (2) In the literature research, peripheral based on investigation, according to the actual need of work through multiple departments, more than 10 experts and relevant department staff three times to the special seminars, each detail system meticulous discussion, and ultimately determine the system function demand and concrete research content.Part three(1) Selection "object-oriented method" for system development plan, with three layers based on B/S technology system architecture technology, use FileMaker Pro 11.0 on the system architecture design and development; Network based on Microsoft Windows Server 2003 Server network operating system. In data information in the system as the main line, the operation flow for stroke chronic disease management system software framework for preliminary design. (2) System mainly designed for eight main function modules:information management module, chronic disease outpatient management module, follow-up management module, mission management module, inquires the management module, statistical analysis module, system Settings module and help manual module. (3) Information management module is mainly to the patients with disease assessment mRS rating, and recorded their personal information and previous medical history, be in hospital diagnosis, the main therapy, discharge take medicine, rating scale and imaging evaluation, inspection geochemical index, etc.; Chronic disease outpatient management module is mainly to the clinic patients assessment and illness, and record information related to intervene; Follow-up management module mainly is corresponding to the patients were followed-up for automatic remind, provide follow-up record information table for patients and send information related to health, etc.; Mission management module mainly involved in health education is record patients, and send mission hint information; Inquires the management module mainly is to realize the search function of system information; Statistical management module of system information is statistically analyzed, and make corresponding statistical figure; System management module is mainly to the system login account for add, modify and delete etc; Help manual module namely system user manual, detailed introduces the system function and operation process and procedure of the error-prone place and gave special hints. (4) According to the database design related gb, from logical design, physical design and debug operation and maintain and improve three aspects of stroke chronic disease management system database construction. (5) The realization of system development.Part fourFor stroke chronic disease management system application testing, the system operating normally, basically reaching the functional design of our expectations; Through the statistical analysis of system database, gets some more valuable scientific research information; The results also show that our cerebrovascular disease, chronic disease management center stroke smoothly, but there are also many needs to perfect place.Conclusion(1) The motherland medicine after a long historical process and formed unique theory system and the differentiation method of disease, its overall view, syndrome differentiation and treatment, the health care technology, to a crowd of health assessment and intervention has unique advantages, greatly enriched the chronic health management means. (2) Current chronic health management software is mainly for leading, and west medicine, has mostly an independent function characteristic of traditional Chinese medicine health management systems rarely. Therefore, establishing Chinese medicine theory as the guide, set assessment, intervention, interactive and follow-up, mission, etc, intelligent, and a multifunctional network health management system has important significance.(3) In the absence of adequate statistical data and can draw lessons from the case, successful precedent using Delphi method and work out the stroke of chronic disease management system requirements analysis and construction scheme for the realization of this system, overall functional target to lay a solid foundation.(4) The construction of stroke chronic management system in a certain extent, realize the management idea and ancient Chinese medicine health fusion of modern chronic disease management thinking, is chronic health management service scale and standard needs, Chinese medicine theory and modern multidisciplinary technical characteristic of traditional Chinese medicine combined with a chronic health management tools.(5) Stroke chronic disease management system is of chronic disease management method, establishes the active explorations of chronic health management research of stroke, promote the information model chronic management network health information technology development, meet the demand of clinical and scientific work for safeguarding human health, and provides a new direction.