关键词: 呼吸系统, 慢性病, 综合诊疗, 分级诊疗

Abstract: The respiratory out-patient clinic comprehensive diagnosis and treatment center is an indispensable link in the tiered diagnosis and treatment of chronic respiratory diseases，and a transitional bridge for mutual transfer treatment between the respiratory specialist clinic and the community general clinic.This article introduces the current status and problems of hierarchical diagnosis and treatment of chronic respiratory diseases，and the clinical significance of the respiratory out-patient clinic comprehensive treatment center in the tiered diagnosis and treatment of chronic respiratory diseases：（1）to give clear diagnosis of patients who were early screened by community general practitioners，so as to improve the early diagnosis rate of chronic respiratory diseases to ensure the diagnosis accuracy；（2）to establish standardized treatment programs for patients with chronic respiratory diseases，and provide guidance for the upgrading or downgrading of follow-up treatment programs for retreated patients；（3）to promote the use of aerosol inhalation therapy in treating chronic respiratory diseases and popularize standardized inhalation therapy to community health service centers；（4）to provide training for general practitioners to improve their basic skills in using spirometer，performing non-invasive mechanical ventilation，home oxygen therapy and respiratory rehabilitation training；（5）to carry out health education to improve the patient's cognitive abilities of chronic respiratory disease.This article also introduces the site facilities，staffing and related diagnostic and treatment specifications of this center.

Key words: Respiratory system, Chronic disease, Comprehensive diagnosis and treatment, Hierarchical diagnosis and treatment