Construction And Feasibility Of Application Of The HOPE Model Of Coronary Heart Disease Health Management In Community

Objective:1、Establish and perfect the specific contents and core management processes of the HOPE model of coronary heart disease health management in community, and provide technical support and theory of reference for the community to carry out coronary heart disease health management.2、Basic on the diagnostic information of community, assess the feasibilities and difficulties in the implementation of HOPE model of coronary heart disease health management. Make practical policy recommendations and suggestions on these issues as references for government’s formulating policy and making decisions and for the community to extend the work’s ideasMethods:1、Interviewed with24persons who are the officials and staff related to chronic diseases management from Gongshu health systems through the form of individual interviews and focus group discussions. Discuss the construction, optimization and related considerations about process of coronary heart disease health management in community and perfect the main contents and core management processes of the HOPE model of coronary heart disease health management in community2、Extract560physical examination information of the residents from stream-Lake Villa community randomly,and ssess the risk of coronary heart disease among community residents in the next10years by the tool of risk assessment of Ischemic cardiovascular disease for Chinese people.Results:1、Further define and perfect t the key elements of the HOPE model of coronary heart disease health management in community, namely,the specific connotations of Health, Organization, Promotion, Evaluation.2、Among the513survey residents, there is one person whose absolute risk of coronary heart disease in the next ten years is more than52.6%and9persons more than21.7%,and there are51.9percent of residents whose absolute risk level is higher than the peers’. There are1.6percent of objects,namely,8people whose relative risk level is more than10times than others’, and13.2percent of objects,namely,68people whose relative risk level is more than3times than others’.In General, there is a high level of major risk factors for coronary heart disease, and risk of incidence of cardiovascular disease in the next10years is a little higher.3、By the research on the situation of chronic diseases in River-Lake Villa community and the HOPE model of health management, assess the feasibilities and difficulties in the implementation of HOPE model of coronary heart disease health management, and made some suggestions and comments in response to these problems. In the respect of health ideas:Make coronary heart disease is included in the management of chronic diseases in community, develop comprehensive guideline for the prevention of coronary heart disease in community. In the respect of organization:increase the financial input, configure human resources more rationally In the respect of promotion:perfect the supervision system for HER, promote the effective combination between health education and health insurance, raise the level of health information, perfect the collaboration mechanism of telecardiology. In the respect of evaluation:emphasis on process evaluation, improve the evaluation system. Finally, through pilot, promote the implementation and popularization of the HOPE model of coronary heart disease health management.Conclusions:The HOPE model of coronary heart disease health management provides an overall strategic plan and provide reference for integrated management of coronary heart disease.Many feasibilities provided a good basis for coronary heart disease health management in community, but meanwhile there are many difficulties, some relevant departments and agencies should take more attentions to achieve the standardization and effective implementation of coronary heart disease health management in community.