400-618-1171
在偏远乡村和城市社区的“最后一公里”，基层医疗服务的可及性长期面临挑战——居民出行不便、设备缺乏、数据孤岛等问题制约着公共卫生服务的质量。公卫随访包的出现，正是为了破解这一困局。它是一款专为基层公共卫生服务设计的便携式智能设备集成系统，让公共卫生人员无论身处何地，都能像在诊室一样完成基础诊疗和健康管理。
In the "last mile" of remote rural and urban communities, the accessibility of primary healthcare services has long faced challenges - problems such as inconvenient travel for residents, lack of equipment, and data silos constrain the quality of public health services. The emergence of the public health follow-up package is precisely to solve this dilemma. It is a portable intelligent device integrated system designed specifically for grassroots public health services, allowing public health personnel to complete basic diagnosis and health management as if they were in a clinic, no matter where they are.
一、使用范围：深入基层公卫全场景
1、 Scope of use: Deeply penetrate the entire scene of grassroots public health
公卫随访包的核心应用场景覆盖了基层公共卫生服务的方方面面：
The core application scenarios of the public health follow-up package cover all aspects of grassroots public health services:
乡村与社区随访：深入村庄、偏远地区，为出行不便的居民提供上门健康服务。设计轻巧便携，适用于各种随访场景。
Rural and Community Follow up: Go deep into villages and remote areas to provide home health services for residents who have difficulty traveling. Designe
d to be lightweight and portable, suitable for various follow-up scenarios.
老年人健康管理：对辖区老年人进行年度体检和定期随访，全面了解其健康状况。
Elderly health management: Conduct annual physical examinations and regular follow-up visits for elderly people in the jurisdiction to comprehensively understand their health status.
慢病筛查与监测：在社区开展高血压、糖尿病等慢性病的早期筛查和定期监测，及时发现潜在健康问题。
Screening and monitoring of chronic diseases: carry out early screening and regular monitoring of chronic diseases such as hypertension and diabetes in the community to find potential health problems in a timely manner.
家庭医生签约服务：配合家庭医生签约制度，为签约居民提供上门健康检测和档案更新服务。
Family doctor contract service: In accordance with the family doctor contract system, we provide on-site health testing and file update services for contracted residents.
应急与巡回医疗：在公共卫生应急事件或巡回医疗活动中，快速部署到现场开展健康检测。
Emergency and mobile medical services: Quickly deploy to the scene to conduct health checks during public health emergencies or mobile medical activities.
二、核心优势：集成、智能、高效
2、 Core advantages: integration, intelligence, and efficiency
公卫随访包在功能设计上充分考虑了基层公卫工作的实际痛点：
The functional design of the public health follow-up package fully considers the actual pain points of grassroots public health work:
一箱多能，全项检测：集成多种检测功能于一体，如血压、血糖、血氧、体温、尿常规、心电等生理参数的检测。传统随访需要携带多台设备，现在一个随访包即可满足大部分基础检测需求，大大简化了随访流程。数据在线，实时上传：检测数据可通过蓝牙、WiFi或4G网络实时上传至健康管理云平台或公共卫生平台。医护人员可远程获取患者健康信息，实现“检查在基层、数据回医院”的无缝衔接。
One box multifunctional, comprehensive testing: integrating multiple testing functions, such as blood pressure, blood glucose, blood oxygen, body temperature, urine routine, electrocardiogram and other physiological parameter detection. Traditional follow-up requires carrying multiple devices, but now a single follow-up package can meet most basic testing needs, greatly simplifying the follow-up process. Data online, real-time upload: Detection data can be uploaded in real-time to the health management cloud platform or public health platform through Bluetooth, WiFi, or 4G network. Medical staff can remotely obtain patient health information, achieving seamless integration of "examination at the grassroots level and data back to the hospital".
科学化管理：帮助实现慢性病等院外管控的规范化管理，为院外慢性病管理提供科学手段。可制定个性化随访计划和管理方案，提高随访的针对性和有效性。提高患者自我管理能力：定期的随访和检测有助于提高患者的健康意识和自我管理能力，促进患者积极参与慢病管理过程。
Scientific management: helps to achieve standardized management of chronic diseases and other external control measures, providing scientific means for the management of chronic diseases outside the hospital. Personalized follow-up plans and management strategies can be developed to improve the pertinence and effectiveness of follow-up. Improving patients' self-management ability: Regular follow-up and testing can help enhance patients' health awareness and self-management ability, and promote their active participation in the chronic disease management process.
敦化市沙河沿镇卫生院的实践案例生动展示了公卫随访包的融合价值：卫生院将便携式心电图机、血糖仪等设备纳入公卫随访包，公卫人员下乡时可直接为居民开展基础诊疗检查。同时推出“医疗公卫联合巡诊”模式，组建由临床医生、公卫医师、护士组成的联合巡诊团队，定期下沉偏远村屯，提供“诊疗服务+慢病随访+健康宣教”一站式服务。
The practical case of Shaheyan Town Health Center in Dunhua City vividly demonstrates the integrated value of the public health follow-up package: the health center includes portable electrocardiographs, blood glucose meters and other equipment in the public health follow-up package, and public health personnel can directly carry out basic diagnosis and treatment examinations for residents when they go to the countryside. At the same time, the "Medical Public Health Joint Inspection" model will be launched, forming a joint inspection team composed of clinical doctors, public health physicians, and nurses to regularly visit remote villages and provide one-stop services of "diagnosis and treatment services+chronic disease follow-up+health education".
