As the cornerstone of primary healthcare services, the quality of general practice directly impacts the effectiveness of the hierarchical medical system and the health rights of the people, and is pivotal to the success of China's healthcare reform. To comprehensively implement the general practice quality management system, strengthen standardized clinical protocols, enhance the evaluation, assessment, and improvement of clinical quality in general practice, and elevate the medical quality of primary healthcare institutions, the General Practice Branch of the Chinese Medical Doctor Association has formulated the Implementation Recommendations for Quality Management and Control in General Practice at Primary Healthcare Institutions (2025 Edition) based on domestic practices. These recommendations elaborate on the core elements and principles of medical quality control, outline the objectives and implementation principles for conducting quality management in general practice at primary healthcare institutions, define the responsibilities of quality control bodies, and provide detailed methodologies for executing general practice quality control. They aim to offer guidance and reference for advancing quality management in general practice at primary healthcare institutions across China.
Hypertension is one of the most prevalent chronic diseases in China. As of 2021, there are over 270 million people suffering from hypertension in our country, which is the most significant risk factor for the death of urban and rural residents due to cardiovascular and cerebrovascular diseases. China has now entered the stage of comprehensively building a Healthy China, and exploring the construction of a chronic disease management path with the integration of healthcare and prevention as the core has become an important trend. This specification is based on the existing content and process of hypertension integration of healthcare and prevention services, and formulates standardized service diagnostic and treatment norms for the integration of hypertension healthcare and prevention. The content of the specification mainly includes basic requirements for service provision, service content, service process, etc., aiming to optimize the primary diagnosis and treatment and health management process of hypertension, control the incidence and mortality of hypertension, and reduce and delay the occurrence of complications, thereby effectively building a primary prevention and treatment line for chronic diseases.
In recent years, the prevalence of diabetes among adults in China has continued to rise, reaching as high as 11.9%, with with type 2 diabetes mellitus (T2DM) being the main type, accounting for more than 90% of the diabetic population, and the onset of the disease is becoming increasingly younger. China has now entered the stage of comprehensively building a Healthy China, and exploring the construction of a chronic disease management path with the integration of healthcare and prevention as the core has become an important trend. This specification, based on the existing content and process of the integration of healthcare and prevention services for T2DM, formulates standardized diagnostic and treatment specifications for the integration of healthcare and prevention services for T2DM. The content of the specification mainly includes basic requirements for service provision, content of services, and service processes, aiming to optimize the primary diagnosis and treatment and health management process of T2DM, control the incidence and mortality rate of T2DM through early detection and comprehensive management, and reduce and delay the occurrence of complications, thereby effectively building a primary prevention and treatment line for chronic diseases.
