ObjectiveTo explore the effects of internet+ "two-card system" on the management of chronic disease in community.

MethodsA total of 1603 chronic disease patients in Tongling Yangguang community health service center from January 2018 to March 2019 were investigated.The chronic disease control rate, standard management rate and control rate of patients were compared between before and after the application of the "two-card system".The questionnaire survey "two-card system" satisfaction were implemented by medical staffs from Yangguang community health service center and 4 health stations belonging to the center.

ResultsCompared with the fourth quarter of 2018, the health management rate of chronic diseases increased in the first quarter of 2019, but the difference of which was not statistically significant(P>0.05).In the first quarter of 2019, the management rate and control rate of chronic diseases decreased significantly compared with the previous quarter, the standardized management rate and control rate of hypertension decreased from 67.78% to 26.28 and from 90.39% to 72.66%, respectively(χ²=479.97, 143.40, P < 0.01), and the standard management rate and control rate of diabetes decreased from 63.64% to 26.05% and from 52.39% to 39.74%, respectively(χ²=124.60, 14.03, P < 0.01).The score of chronic disease management was positively correlated with the total number of patients, and the score of hypertension disease management was positively correlated with the number of hypertension disease patients (r=0.992, P < 0.01).The score of diabetes mellitus management was positively correlated with the number of diabetes mellitus patients (r=0.881, P < 0.05), and the score of chronic disease management was not correlated with standard management rate or number of patients of standard management(P>0.05).The dissatisfaction rate of grassroots medical staff to the "two-card system" was 73.47%.The most satisfied with the two-card system was pragmatic, while the least satisfied with the "two-card system" was the cumbersome operation of mobile phone and tablet apps and work score system.

ConclusionsThe implementation of "two-card system" has a milestone significance, which changes the phenomenon of fraud in the management of chronic diseases files at the grassroots, and provides a real basis for the future public health management.The effects of "two-card system" in continuing to improve the quality and enhancing the strength of primary medical service still needs further observation and evaluation.