基层做公卫的人都有个共同感受：慢病随访是国家定的硬任务，高血压、糖尿病患者每年至少四次面对面随访，一次都不能少。可实际跑起来，背着分体式血压计、血糖仪、一堆纸质表格，敲开门量完、手写记录、回单位再录入系统，一个人一天跑不了几户，数据还容易录错。随访包如果选不对，一线人员累得够呛，居民那边还没感受到服务。

People working in public health at the grass-roots level have a common feeling: follow-up of chronic diseases is a hard task set by the state, and patients with hypertension and diabetes should be followed up face to face at least four times a year, one of which should not be less. In practice, carrying a split blood pressure monitor, blood glucose meter, and a pile of paper forms, knocking on the door to measure, handwriting records, and entering them into the system after returning to the office, one person can only run to a few households in a day, and the data is also prone to errors. If the follow-up package is selected incorrectly, frontline personnel will be exhausted and residents will not feel the service yet.

先分清楚公卫随访箱和普通随访包的区别。 市面上有随访包，也有随访箱，看着都叫“包”，实际定位差很远。普通随访包更像一个收纳袋，装的是血压计、听诊器、记录本这些基础工具，适合简单入户。而公卫随访箱是“全能作战单元”，集成了更全面的检测模块，本身就是一个移动的公共卫生服务平台，通过平板一体化设备把测量、建档、上传串成一条线。如果辖区服务人口多、慢病管理任务重，只配基础收纳包远远不够用。

First, clarify the difference between the public health follow-up box and the regular follow-up package. There are follow-up packages and follow-up boxes on the market, both of which look like "packages", but their actual positioning is far from satisfactory. A regular follow-up bag is more like a storage bag, containing basic tools such as a blood pressure monitor, stethoscope, and notebook, suitable for simple entry into the home. The public health follow-up box is an "all-in-one combat unit" that integrates more comprehensive detection modules. It is itself a mobile public health service platform that integrates measurement, filing, and uploading into one line through tablet integrated devices. If the service population in the jurisdiction is large and the task of chronic disease management is heavy, only providing basic storage bags is far from enough.

检测项目要覆盖国家规范要求的指标，不能缺项。 按照基本公卫服务规范，高血压随访要测血压，糖尿病随访还要测空腹血糖，老年人健康管理涉及体温、脉搏、呼吸、血压、身高、体重、腰围等常规体格检查，慢阻肺患者还需要血氧饱和度数据。公卫随访箱的核心价值就在这里：一次上门，把这些指标全测完，数据自动采集、自动关联到个人健康档案，不用事后手动补录。采购时对着规范逐项核对，缺了哪一项，后面就是反复上门补测的麻烦。

The testing items must cover the indicators required by national standards and cannot be missing any items. According to the basic public health service specifications, blood pressure should be measured during the follow-up of hypertension, and fasting blood glucose should be measured during the follow-up of diabetes. The health management of the elderly involves routine physical examinations such as temperature, pulse, respiration, blood pressure, height, weight, waist circumference, etc. The patients with chronic obstructive pulmonary disease also need blood oxygen saturation data. The core value of the public health follow-up box lies in this: once on-site, all these indicators are tested, the data is automatically collected and associated with personal health records, without the need for manual supplementation afterwards. When purchasing, check each item against the specifications one by one. If any item is missing, it will be troublesome to repeatedly conduct on-site testing.

数据能不能自动上传、能不能对接现有系统，比设备本身更关键。 随访做完不是终点，数据要进公卫系统才算完成闭环。很多随访设备单机用没问题，一对接基层的公卫平台就卡住——接口不开放、数据格式不匹配、蓝牙传输不稳定。选型时必须确认两件事：一是设备支持哪些传输方式，蓝牙、WIFI、数据线能不能覆盖你辖区的实际网络条件；二是能不能对接你正在用的公卫系统或区域健康档案平台，最好让厂家提供对接案例或者通信接口协议，别等买了才发现是个信息孤岛。

Whether data can be automatically uploaded and integrated with existing systems is more critical than the device itself. The follow-up is not the end point, the data needs to be entered into the public health system to complete the closed-loop. Many follow-up devices work fine when used alone, but when connected to grassroots public health platforms, they get stuck - interfaces are not open, data formats are not compatible, and Bluetooth transmission is unstable. When selecting, two things must be confirmed: first, which transmission methods the device supports, Bluetooth WIFI、 Can the data cable cover the actual network conditions in your jurisdiction; The second is whether it can be integrated with the public health system or regional health record platform you are currently using. It is best to ask the manufacturer to provide integration cases or communication interface protocols, so as not to discover that it is an information island after buying.

便携和续航，决定一线人员愿不愿意带着它出门。 随访工作不是在诊室里坐着，是要走街串巷、爬楼梯、进村入户。设备重量、箱体设计、电池续航，每一样都影响使用意愿。有的随访箱集成了太多模块，沉得像块砖头，最后被扔在办公室落灰。合理的做法是按需配置，根据辖区重点人群结构选择功能模块，高血压多的配好血压模块，糖尿病多的加血糖检测，没必要为用不上的功能买单。另外，单次充电能支撑多少人次检查、现场打印报告方不方便，这些细节直接决定随访效率。

Portability and battery life determine whether frontline personnel are willing to take it out. Follow up work is not about sitting in the clinic, but about walking through streets, climbing stairs, and entering villages and households. The weight of the device, the design of the casing, and the battery life all affect the willingness to use. Some follow-up boxes integrate too many modules, sinking like bricks, and are eventually thrown into the office to fall into dust. The reasonable approach is to configure according to needs, and select functional modules according to the structure of key population in the jurisdiction. If there is more hypertension, the blood pressure module should be equipped, and if there is more diabetes, the blood glucose test should be added. There is no need to pay for functions that are not available. In addition, the number of inspections that can be supported by a single charge and the inconvenience of printing reports on site directly determine the efficiency of follow-up.

公卫随访箱是帮基层人员减负的工具，不是应付考核的摆设。选之前把规范要求、系统对接、实际使用场景三件事想清楚，买回来才能真正跑起来。

The public health follow-up box is a tool to help reduce the burden on grassroots personnel, not a decoration to cope with assessments. Before making a decision, it is important to carefully consider the regulatory requirements, system integration, and actual usage scenarios in order to truly get started.

本文由公卫随访箱友情奉献.更多有关公卫随访箱的知识请点击:http://www.yixiangyiliao.com 我们将会对您提出的疑问进行详细的解答，欢迎您登录网站留言。

This article is a friendly contribution from the Public Health Follow up Box For more information about the public health follow-up box, please click: http://www.yixiangyiliao.com We will provide detailed answers to your questions. You are welcome to log in to our website and leave a message.