A series of common diseases, frequently occurring diseases, and multimorbidities such as hypertension, diabetes, coronary heart disease, chronic obstructive pulmonary disease,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Residents under the management of Nanshitou Street Community Health Service Center; 2. Age >= 35 years old; 3. Suffering from at least two chronic diseases (including but not limited to: hypertension, diabetes, chronic obstructive pulmonary disease, coronary heart disease, stroke, osteoporosis, etc.); 4. Having complete assessable data on treatable characteristics (based on the TTs chronic disease management system, including some data that can be supplemented later).
Exclusion criteria
Exclusion criteria: 1. Missing data for key variables > 20%; 2. Expected survival time < 6 months (such as advanced tumors).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Verification of treatable feature clustering results; | — |
Countries
China
Contacts
Second Affiliated Hospital of Guangzhou Medical University