Figure 1
Schematic representation of chronic disease management in large hospitals. The arrows represent how patients with multiple diseases are transferred to different departments. Coordinated treatment by multiple departments: The arrows from the 3 department to the chronic disease management system indicate: after treatment, each department will input the patient's treatment into the chronic disease management system; The arrows from the 3 department to the patient's normal life indicate that the patient is discharged from hospital; The bidirectional arrow from chronic disease management system to patients' normal life indicates that patients input their daily physical conditions into the system, and the system feedback corresponding services according to patients' conditions.
