探索农村社区人群慢性病综合防治的有效方法，提高农村社区慢性病防治的效果，促进农村居民的健康。
To explore the effective method for treatment and control of chronic diseases in rural community, improve the effect and promote the health of the people in rural community.
自2008年以来，他们建立了数据丰富的其他几种慢性病社区，其中包括纤维组织肌痛和帕金森氏病，他们计划在未来一年内增加更多的社区。
Since 2008, they have set up data-rich communities for several other chronic ailments, including fibromyalgia and Parkinson's disease, and they plan to add more in the coming year.
高血压，糖尿病，冠心病和缺血性脑血管病等慢性病的有效管理，是社区全科医生的重要工作内容，也是一个比较困难的课题。
It is an important yet a difficult task for family physicians to efficiently manage chronic diseases like hypertension, diabetes, coronary heart diseases and ischemic cerebrovascular diseases.
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