China's Cardiovascular Disease Report 2017 indicates that the prevention and treatment of cardiovascular disease(CVD) in China has achieved initial results,but still faces severe challenges such as high morbidity,mortality and medical costs of CVD.Although clinical guidelines or consensuses,can not replace clinical skills,clinical experience, and clinical data,they are summaries of valuable management for specific clinical problems,promoting standardized medical practices.However,in China,guidelines have not gained sufficient attentions from primary care providers(PCPs) and have not been applied satisfactorily in primary care.Moreover,significant differences have been found in the understanding,mastery and application of guidelines between PCPs.In view of this,in order to achieve Healthy China goals,general practitioners are suggested to do the following tasks concerning prevention,management and rehabilitation of CVD with great efforts:improve the professional capabilities by intensified learning and training of CVD guidelines;popularize public education of the essentials of CVD guidelines;value and master the CVD risk assessment in accordance with the CVD guidelines;pay attention to use the knowledge learned from the CVD guidelines in practice(for improving CVD management abilities);develop a high-efficiency and high-quality holistic patient-centered management pattern for CVD;prevent the incidence and progression of CVD effectively by implementing successive interventions.All these contribute to achieving good prevention and control of CVD in China as early as possible.%《中国心血管病报告2017》指出:我国心血管病(CVD)防治工作已取得初步成效,但仍面临严峻挑战,其发病率、病死率及医疗花费仍较高.临床指南是针对特定临床问题的最佳医疗实践的总结,推动医疗行为规范化,但指南和共识并不能取代临床技能、临床经验和临床资料.目前,我国基层医生对临床指南的了解与应用并不乐观,基层医务人员对临床指南的知晓率、重视程度和使用程度均较低,对其预防-治疗-康指南实质和内涵内容的理解、掌握和应用尚存在较大差异.为尽早实现"健康中国"的战略目标,全科医生应在CVD预 复整个疾病链上下功夫.在实践中,强化对临床指南的学习和培训,提高基本医疗的能力;理解临床 ,扩大健康教育的受众;遵循临床指南的要求和规定,重视并掌握CVD总体风险的评估;重视临床指南与实践相结合,构筑CVD防治的壁垒.创建以患者为中心的,高效率、高质量的CVD全程医疗服务模式,真正贯彻层层设防的策略,有效阻断CVD发生和进展,为我国CVD下降拐点的早日到来做出贡献.
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