With the increasing incidence of chronic non-communicable diseases,chronic disease management has become the focus of global attention.Chronic disease management aims to provide comprehensive,continuous and proactive management of patients with cardiovascular disease,cancer,diabetes,chronic lung disease and so on by chronic disease professional doctors,pharmacists and nurses.In abroad,a variety of chronic disease management models and products have been designed or improved based on the different diseases,and a series of related policies have been issued.