Application Practice of Accurate Classification Diagnosis and Treatment Based on Chronic Kidney Disease Management postprint

Abstract: Background The graded diagnosis and treatment system is an important step to optimize the basic medical health, but it encounters obstacles in its implementation. Due to the problems of different referral standards, spatial discontinuity and time lag, it is difficult to promote the medical consortium model. Objective The study aims to select regional dominant diseases about chronic kidney disease (CKD) , explore and establish a regional hierarchical treatment system to conduct empirical evaluation. Methods The hospital took chronic kidney disease (CKD) as an example to sort out the disease management rules of CKD patients that based on clinical guidelines, establish a two-way referral knowledge base of CKD with medical information sharing and referral rules, design the process of regional CKD specific disease classification diagnosis and treatment information system, and build an integrated management model of specific disease classification diagnosis that based on hospital community linkage management. Results The study developed a classified diagnosis and treatment system for CKD that promoted the integration of regional medical resources and the upper and lower linkages with the support of informatization. It established a disease management system that run through the whole life cycle from early screening, diagnosis reminder, specific disease treatment to continuous follow-up and tracking as well as a specific disease management mode. Conclusion The classified diagnosis and treatment mode based on CKD knowledge base can accurately locate vulnerable and high-risk population, timely screen and evaluate early CKD patients to improve the health management and diagnosis and treatment efficiency.