探索用社区导向基层医疗（COPC）模式，对社区高血压病、糖尿病患者进行系统管理的效果。

To explore the effect of systematic management of hypertension and diabetes with community oriented primary care (COPC) model.

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医务人员必须加大医患之间的交流与合作，培养病人提高自我管理意识，采取有效的措施共同控制高血压病。

The medical workers should strengthen the communication between doctors and patients, train patients to increase self-management awareness, and take effective measures to control hypertension.

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结论以糖尿病、高血压病为代表的慢性病患者综合管理效果显著。

Conclusions The comprehensive management for diabetes, hypertension, and such chronic diseases was effective.

youdao

结论以糖尿病、高血压病为代表的慢性病患者综合管理效果显著。

Conclusions The comprehensive management for diabetes, hypertension, and such chronic diseases was effective.

youdao