Eight-character slogan for chronic disease management

At present, the eight-character slogan that is most widely used and has the highest consensus in the field of chronic disease management in China is "early screening, early control, long-term management, and long-term safety."

Last month, I followed the district disease control teacher to the community to conduct research on chronic diseases. From the publicity wall of the street public health department, to the cover of the health manual for follow-up visits by family doctors, to the packages of free salt control spoons and waist circumference rulers, these eight words have the highest appearance rate, and they are considered to be the most commonly recommended by the official. This version covers the entire process requirements for various chronic diseases such as hypertension, diabetes, and chronic obstructive pulmonary disease, from early screening to long-term follow-up. It is full of rigor and adaptability. Whether you are doing provincial public health propaganda or internal chronic disease science popularization in the hospital, you will basically not go wrong with this version.

But after working in this industry for a long time, you know that there is never a single solution to the slogan of chronic disease. Different scenarios and different audiences have different preferred versions. Many colleagues who have been doing missionary work at the grassroots level for a long time prefer to use the vernacular version of "eat a balanced diet and avoid chronic diseases." It is too written for the elderly to remember. I used to do free clinics in an old community in the old city. There was a 72-year-old Aunt Li who had suffered from high blood pressure for 12 years. She always thought the doctor was long-winded and could not remember to eat less salt and exercise more. Since the neighborhood committee painted these eight words on the wall at the entrance of the unit building, she now subconsciously chants a few words when adding salt when cooking. Last month, her systolic blood pressure was 15 mmHg lower than before. She pulled me and said that these two slogans "saved her life."

There is also an eight-character slogan specifically for medical care, which is "accurate follow-up, standardized intervention." Most of them are posted on the walls of the clinics of community health service centers, and are work requirements for the family doctor team. A family doctor I know who has been working for almost ten years said that in the past, their team always missed the registration of patients' blood sugar fluctuation data during follow-up visits. Since these eight words were posted next to the workstation, the first thing they do after each follow-up visit is to re-enroll in the system. The rate of compliance with diabetes control standards in the jurisdiction has increased by 8 percentage points in half a year. The effect is more effective than holding three training meetings.

There are also many experts in the public health field who feel that it is unnecessary to have so many versions. Only by using a unified official slogan can we facilitate global promotion and reduce cognitive confusion. But when I came into contact with it, I felt that each has its own application scenarios, and there is really no need to argue about right and wrong: when doing public health propaganda and formal policy interpretation in the whole area, it is definitely right to use "early screening and early control, long-term management and long-term safety". It is rigorous and comprehensive and will not make mistakes easily. ； Going into the community to do science popularization activities and printing slogans on canvas bags and cattail fans will have a much better dissemination effect of "eat a balanced diet and avoid chronic diseases". Ordinary people can chat with their old friends while carrying vegetables. ； If we remind the medical team of service standards and publicize performance appraisals, then "accurate follow-up and standardized intervention" will be more targeted, and people in the industry will know at a glance which direction to push.

In fact, whatever slogan you choose is ultimately a means to make ordinary people really take the awareness of chronic disease management into their hearts, and make patients willing to cooperate and medical staff willing to implement it. Only these eight words can be considered to be used in real terms. Otherwise, no matter how exquisitely printed and well-worded, no one will take it seriously, and it will just be a decoration on the wall.