public health physical examination, outpatient discovery, disease-specific care follow-up and in-hospital referral operate independently, making it difficult to form a continuous identification portal.
Product positioning
Take the primary care screening and prevention center as the fulcrum to build a solid base for the chronic disease early screening and early tube
Primary Care Chronic Disease Screening and Prevention Center is suitable for areas that already have a basic public health system, regional medical platform or integrated county healthcare network collaborative foundation. The positioning of WiGroup is not to simply add a software entrance, but to organize equipment collection, resident documentation, complication screening, risk assessment, hierarchical intervention and superior collaboration into a set of operational centralized capabilities around the real service scenario of primary care.
Service objects: community health service centers, township health centers, primary care integrated county healthcare network units
Business boundaries: Mainly hypertension, diabetes, and hyperlipidemia, supporting expansion of COPD, atrial fibrillation, tumors, etc.
Delivery goal: Make screening results collectible, quality controlable, manageable, and traceable
Policy and construction basis
Guided by people's livelihood issues, the primary care model of joint prevention and joint management of multiple diseases has been formed.
Jiangsu Province has continuously incorporated the construction of Primary Care Chronic Disease Screening and Prevention Center into the provincial government’s livelihood projects, and promoted primary care to form a unified, standardized, simple and easy-to-implement integrated chronic disease screening and prevention management strategy focusing on infrastructure, equipment purchase, personnel training, construction standards and participation of social forces.
The construction focuses on the "three highs" of high blood pressure, diabetes, and hyperlipidemia, and gradually includes high-risk groups and patients such as COPD, osteoporosis, atrial fibrillation, and tumors through the "3+N" model, and promotes secondary and above hospitals to participate in chronic disease services through visits, training, teaching, expert studios, and joint wards.
continuous constructionContinuously included in the provincial government’s people’s livelihood matters in 2024 and 2025
Standard towingConstrain space, equipment, personnel and service processes with construction standards
Three-high condominiumHypertension, diabetes, and hyperlipidemia are the main lines of primary care screening and prevention
3+N extensionExpand screening targets for COPD, atrial fibrillation, tumors, etc. according to regional capabilities
what problem to solve
primary care It’s not a lack of tasks, but a lack of a screening and prevention organization method that can be implemented stably
On-site collection of multiple devices and positions relies on manual registration, and data authenticity, integrity and efficiency are easily affected.
Screening for fundus, foot, kidney, blood vessel and other complications is not embedded in the primary care process, making it difficult for risk groups to intervene early.
There is a lack of traceable data links and unified processing closed loops between higher-level hospitals, primary healthcare institutions and regional supervision.
How to build
Focusing on "Two Screenings and Three Prevention Measures" and standardized processes, on-site services become data closed loops
Two Screenings and Three Prevention Measures: Move screening forward and layer prevention
With Primary Care Chronic Disease Screening and Prevention Center as the hub, the chronic disease early identification portal is first established through wide-coverage screening, and then high-risk groups are identified through complication screening, and finally enters the primary, secondary, and tertiary prevention management paths, forming a post-screening closed loop.
Standardized process: traceable service chain from document creation to target
Taking archiving, admissions, screening, assessment, management and compliance as the main lines, it connects resident entrance, health records, consultation information, high-risk screening, disease diagnosis, complication screening, risk assessment, standardized management and target inspection.
Construction preparation: software, hardware, network and personnel are synchronized in place
Pictures of hardware to be supplemented: subsequent supplementary screening equipment, mobile follow-up package, edge gateway and on-site deployment photos.
Specific equipment can be configured in stages according to regional construction goals. The core principle is to allow on-site inspection data to be automatically collected, uploaded, and quality controlled as much as possible to reduce primary care repeated entry and subsequent supplementary entry.
Basic physical examination equipment: blood pressure, blood sugar, height and weight, waist circumference, urine test, biochemistry, etc.
Complication screening equipment: fundus, sole, kidney disease-related testing, ECG, ultrasound, etc.
On-site execution equipment: scanning terminal, mobile follow-up package, ID card verification, printing and calling equipment
Data access capabilities: edge gateway, device interface, network environment, platform account and permission system
Personnel organization ability: primary care clinicians training, superior hospital guidance, quality control rules and abnormal handling mechanism
Construction indicators
Indicators not only look at the number of completed projects, but also look at screening, discovery, management and compliance.
The introduction page does not expand the project acceptance details, but it is necessary to let customers see the direction of the construction goals: after the center is completed, it should be able to support population screening, risk discovery, complication screening, classified registration, standardized management, follow-up intervention and superior coordination.
Taking the public construction results of Jiangsu Province as a reference, in 2024, relying on the 60 Primary Care Chronic Disease Screening and Prevention Centers that have been built, a total of 830,000 residents were screened, and 320,000 people at high risk of chronic diseases were found, 36,521 newly diagnosed patients with hypertension, and 27,270 patients with diabetes.
screening coverageTarget population archiving, physical examination and screening coverage
risk discoveryIdentification, classification registration and tracking of high-risk groups
Complication screeningFundus, kidney, foot, blood vessel and other key risk screenings
Data quality controlEquipment collection, identity verification, result upload and quality verification
Standardized managementStratified intervention, follow-up plan, service package signing and compliance assessment
collaborative supportTeaching, referral, consultation and expert resources sinking in higher-level hospitals
Product screenshots
Consolidate primary care on-site services into manageable system capabilities
personal health record
Centering on resident identity, basic information, physical examination records, chronic disease tags and historical service records, a unified data portal for primary care screening and prevention work is formed to provide a basis for subsequent risk assessment and follow-up management.