Six Departments Issue Joint Statement: Strengthening Primary-Level Chronic Disease Management, Building A Robust Health Defense Through Comprehensive Care

Nov 11, 2025 Leave a message

Six Departments Issue Joint Statement: Strengthening Primary-Level Chronic Disease Management, Building a Robust Health Defense Through Comprehensive Care

 

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The National Health Commission and five other ministries recently issued the "Guiding Opinions on Strengthening Primary-Level Chronic Disease Health Management Services." The document requires integrating comprehensive health management services, covering prevention, screening, diagnosis, treatment, management, and rehabilitation, with basic public health service programs. This approach aims to provide integrated, systematic, and continuous services to the public, thereby enhancing the quality and effectiveness of primary-level chronic disease health services.

 

The introduction of this policy directly addresses the pain points in primary-level chronic disease management, where fragmented services, disjointed processes, and insufficient targeting have historically plagued certain regions. The requirement for integrated end-to-end services provides crucial policy guidance for implementing digital health management models, while also opening new pathways to resolve challenges in primary healthcare delivery.

 


 

Survey data on prevalent diseases indicates that 70% of China's urban population is in a state of sub-health. The incidence rates of "civilization diseases" and "affluenza" such as coronary heart disease, hypertension, hyperlipidemia, and diabetes have been climbing year after year. Moreover, chronic diseases no longer target only middle-aged and elderly individuals but are increasingly affecting younger demographics. In grassroots areas, limited health monitoring tools and insufficient specialized medical resources heighten the risk of sub-healthy conditions progressing into chronic diseases, while also posing challenges for the long-term management of chronic disease patients.

 

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This vast population suffering from suboptimal health and chronic diseases has created an urgent demand for high-quality health management services. Digital health management models, characterized by efficiency, precision, and accessibility, are emerging as a powerful foundation for integrating comprehensive health management functions, including prevention, screening, diagnosis, treatment, management, and rehabilitation, enabling premium healthcare services to reach grassroots communities more conveniently.

 


 

As residents' economic standards rise and health awareness grows, one-size-fits-all health management can no longer meet the diverse needs of different demographics-younger individuals may prioritize addressing suboptimal health conditions, while middle-aged and elderly populations focus more on chronic disease management. Tailoring services to individual differences in age, physical constitution, lifestyle habits, and disease risks has become the mainstream approach in chronic disease health management. Digital health monitoring technologies provide precise data to inform the development of personalized treatment plans.

 

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HRA Health Risk Assessment

 

In physical and mental health evaluation, the integration of HRA Health Risk Assessment with MSA Multimodal Stress Analysis enables comprehensive identification of potential physiological risks (such as cardiovascular and metabolic system vulnerabilities) while accurately capturing mental stress levels. This "integrated physical and mental assessment" model achieves holistic monitoring of residents' health status.

 

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MSA Multimodal Stress Analysis

 

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Targeted screening can precisely address key health risks. Considering the high prevalence of chronic diseases at the community level, initiatives such as cardiovascular risk factor screening and EIS red blood cell imaging tests are implemented to detect early signs of cardiovascular and cerebrovascular chronic diseases through red blood cell aggregation screening. For the elderly population in these communities, ADDS cognitive impairment screening is conducted to identify risks such as Alzheimer's disease at an early stage, thereby strengthening the health defense for community residents.

 

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EIS Red Blood Cell Imaging

 

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ADDS Cognitive Impairment Screening

 


 

At the management level, the concept of diversity has gained widespread acceptance. Users increasingly prioritize non-pharmaceutical lifestyle adjustments, with physical interventions, dietary modifications, and exercise planning gaining popularity. Particularly at the grassroots level, low-cost, easy-to-implement health management approaches are more readily adopted.

 

Based on precise assessment results, the digital health management model establishes a comprehensive health risk intervention system. This system covers multiple dimensions, including dietary balance, appropriate exercise, behavioral modification, psychological adjustment, device-based therapy, and nutritional supplementation. It perfectly aligns with the full-process requirements of "diagnosis, treatment, and management," while fully adapting to the practical needs of primary-level residents.

 

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PMR Pulsed Magnetic Microcirculation Therapy

 

In health intervention and conditioning, PMR Pulsed Magnetic Microcirculation Therapy requires no complex procedures. Through multimodal interventions such as cell membrane potential regulation and ultra-low-frequency pulsed magnetic field control, it corrects blood rheology indicators, improves vascular dilation function, promotes blood circulation, and thereby enhances skeletal, muscular, hematological, and other pathological conditions.

 

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ADTS Memory Impairment Training

 

ADTS Memory Impairment Training targets multidimensional improvements in attention, memory, calculation, orientation, language, and comprehensive abilities. Utilizing brain-computer interface technology, it enables users to mentally control the progression of specialized smart rehabilitation games. This approach effectively enhances EEG complexity and approximate entropy, activates cortical neurons, and prevents further deterioration and pathological changes in memory and brain function.

 

SMIS Pulsed Magnetic Sleep Therapy focuses on addressing common sleep disorders at the grassroots level, helping users improve sleep quality and supporting chronic disease management.

 

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SMIS Pulsed Magnetic Sleep Therapy

 



Scientific effect evaluation is crucial for ensuring continuous optimization of health management quality and serves as the core support for the "wellness" component of primary-level health management. This evaluation operates on a phased cycle (e.g., every three months), using HRA health risk assessment data as the primary basis. By comparing changes in users' physiological function indicators before and after intervention, it objectively verifies the actual effectiveness of previous intervention measures. This enables timely adjustments to intervention plans, guaranteeing intervention outcomes.

 

This data-driven dynamic evaluation mechanism enables health management services to continuously adapt to changes in users' physical conditions. It ensures every service initiative is scientifically effective, fostering a virtuous cycle of "assessment-intervention-evaluation-optimization" in primary healthcare services. This approach ensures the "wellness" objective is truly realized.

 

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Of course, we must adjust our lifestyle habits, maintain moderate exercise, balanced nutrition, and regular sleep patterns. Together with scientific interventions, these form a multidimensional, synergistic closed-loop system that ensures health management is truly "effective and thorough."

 

In the future, more intelligent health monitoring and intervention devices will enter communities and rural areas. More personalized health plans will be tailored to meet the needs of grassroots populations, and more primary healthcare workers will leverage digital tools to enhance service efficiency.

This will not only embed the full spectrum of services-prevention, screening, diagnosis, treatment, management, and rehabilitation-deeply within grassroots communities but also help millions of residents safeguard their health foundations, reduce the burden of chronic diseases, and build a solid grassroots foundation for the Healthy China initiative.

 

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