关键词: 血管健康, 健康管理, 管理路径, 全科医疗

Abstract: In order to further standardize the health management of blood vessel and give full play to the advantages of general practice in health promotion，Sir Run Run Shaw Hospital of Zhejiang University School of Medicine formulated a integrated health service plan of blood vessel according to the concept and methods of general practice.To provide a programmatic and comprehensive management model for patients with vascular health problems，a health management path of blood vessel was constructed.A closed-loop management model of medical treatment and health promotion in general practice was established with programmatic intervention methods to ensure that patients with vascular problems could obtain the best care and reduce the occurrence of vascular disease complications.It proved that constructing and implementing a vascular health management path in general practice could promote effective management of vascular problems and improve the quality of medical services.This paper mainly introduced the team organization structure and implementation steps of the vascular health management path mainly，including the screening of objects and establishment of files，hierarchical evaluation of patients and formulation of medical plans，and intervention management and corrections based on feedback.At the same time，combined with practical experience，the conditions and key points of the construction of the vascular health management path was analyzed with a view to providing a reference for the development of the vascular health management models in other regions.

Key words: Vessel health, Health management, Management path, General practice