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LUO Xiu(Department of Preventive Medicine,North Sichuan Medical College,Nanchong 637000,Sichuan,China)  

Effectively coping with the challenge of chronic disease is the major problem of public health.Community health service organization plays an important role in chronic disease management.Through the unified referral standards,formulating a clinical pathway,regulating the referral process and setting up two-way referral mechanism of chronic disease between community and hospital can promote the rational utilization of health resources,reduce the medical cost,standardize the treatment of chronic disease and improve the level of people's health.

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