Comprehensive health management service model of chronic diseases in Heilongjiang Province / 中华医学图书情报杂志

An integrated "medical institutions-communities-patients-volunteers" health management service model of chronic diseases was established by investigating early screen, risk prediction, early warning and compre-hensive treatment according to the actual conditions in Heilongjiang Province in order to reduce the occurrence and development of chronic diseases, promote the recovery and improve the quality of life of chronic disease patients.