Journal of Capital Medical University ›› 2025, Vol. 46 ›› Issue (1): 63-67.doi: 10.3969/j.issn.1006-7795.2025.01.010

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Current situation and four-level prevention of stroke under the collaborative management model between medical  prevention and treatment in Nantong

Liu Xiaomeng1，2，3，Zhou Shaojuan1，Shao Xiaohong1，3，Xu Wenping6，Huan Feng3，5，Zhu Xiangyang3，4*   

  1. 1.Medical Prevention Management Section,Nantong Center for Disease Control and Prevention,Nantong 226000, Jiangsu Province, China; 2.Institute of Public Health Application of Nantong University,Nantong 226000, Jiangsu Province,  China; 3.Nantong Medical and Prevention Collaborative Center for Cardiovascular and Cerebrovascular Disease,Nantong 226000, Jiangsu Province, China; 4.Department of Neurology,Nantong First People's Hospital, Nantong 226000, Jiangsu Province,  China; 5.Department of Public Health and Medical Prevention,Nantong First People's Hospital, Nantong 226000, Jiangsu Province,  China; 6.Department of Inspection,Nantong Health College of Jiangsu Province,Nantong 226000, Jiangsu Province, China
  • Received:2024-11-06 Online:2025-02-21 Published:2025-02-24
  • Supported by:
    This study was supported by the Research Project of Jiangsu Provincial Health Commission (Y12023023), Jiangsu Province Occupational Health Research Project (JSZJ20241103),Nantong Science and Technology Bureau Project (MS22022121),the Research Project of Nantong Health Commission (MS2023088),the Research Project of Nantong Health Commission (MS2024029).

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Abstract: Objective  To analyze the innovative model and effectiveness of the four-level prevention of stroke in  Nantong Medical and Prevention Collaborative Center for Cardiovascular and Cerebrovascular Disease,so as to provide new practical experience for the prevention and treatment of cerebrovascular disease.  Methods  In practice, Nantong city has explored the “53343” mode of collaborative treatment and prevention of cardiovascular and cerebrovascular diseases, and innovatively integrated this mode into four-level prevention to form a practice mode of  zero-level guidance, first-level monitoring, second-level coordination and three-level leading. Data from the China Health Statistics Yearbook from 2011 to 2022 and the monitoring data of cardiovascular and cerebrovascular events in Nantong City on the Jiangsu Provincial Chronic Disease Management Information Platform from 2017 to 2023 were collected and processed by using Excel and SPSS 24.0, to analyze the changes of stroke surveillance data and effectiveness in Nantong City after applying the model. Results  According to the monitoring data of cardiovascular and cerebrovascular events in Nantong City from the Jiangsu Provincial Chronic Disease Management Information Platform, despite the continuous increase in the number of monitored individuals over five years, the monitoring data for stroke from the Nantong Medical and Prevention Collaborative Center for Cardiovascular and Cerebrovascular Disease witnessed a decline in the number of monitored individuals for the first time in 2022. The stroke monitoring data from the same monitoring agency showed a more stable fluctuation trend compared to the number of national stroke patients discharged from 2017 to 2021. We established a coherent health service operation mechanism, cultivated 14 interdisciplinary talents,  held a special continuing education class on stroke, strengthened the in-depth collaboration between clinical and public health, and provided a practical and innovative model for effective prevention and treatment of stroke. Conclusions  The four-level prevention based on the medical and preventive collaboration center for cardiovascular and cerebrovascular diseases can achieve process and cycle health management, effectively slow down the upward trend of stroke, and improve the ability and level of scientific research and teaching.

Key words: collaboration between medical and preventive, stroke, fourth-level prevention

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