A patient fine management service method and system based on a patient cluster mode

CN122967918APending Publication Date: 2026-10-23HOSPITAL OF STOMATOLOGY GUANGZHOU MEDICAL UNIVERSITY (YANGCHENG HOSPITAL OF GUANGZHOU MEDICAL UNIVERSITY)
View PDF 0 Cites 0 Cited by

Patent Information

Application Number
CN202611135772.5
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2026-07-29
Publication Date
2026-10-23

AI Technical Summary

Technical Problem

[0005]1、多对多沟通效率低:难以形成以患者为中心的固定服务团队,在我对多沟通过程中需要患者重复解释病情,较为繁琐

Benefits of technology

[0035]在本发明中,通过管理服务方法与管理系统协同作业使本发明具有能够为每位患者便捷建立标准化专属共管群且能够在群聊界面集成患者档案以便于高效实施管理、宣教、随访、评价工作,同时具有如下优点:

✦ Generated by Eureka AI based on patent content.

Smart Images

  • Figure CN122967918A_ABST
    Figure CN122967918A_ABST
Patent Text Reader

Abstract

The application discloses a patient fine management service method and system based on a one-patient-one-group mode. In one aspect, the patient fine management service method based on the one-patient-one-group mode is provided with a management system, and further includes the following steps: at least one service team is pre-configured in the management system; a patient WeChat friend pool and a patient archive pool are established in the management system, and a state identifier is recorded; an exclusive co-management group chat named after a target patient's name and a service team name is automatically established; and the archive information of the patient and at least one service tool control are displayed in real time in a column of the corresponding exclusive co-management group chat. In another aspect, a system adopting the patient fine management service method based on the one-patient-one-group mode is provided. The application has the advantages that a standardized exclusive co-management group can be conveniently established for each patient, and the patient archive can be integrated in the group chat interface, so that the management, propaganda and education, follow-up and evaluation work can be efficiently implemented.
Need to check novelty before this filing date? Find Prior Art

Description

Technical Field

[0001] This invention relates to the field of medical technology, and in particular to a method and system for refined patient management services based on a one-patient-group model. Background Technology

[0002] In medical services, medical institutions currently commonly use methods such as telephone / SMS communication, one-on-one chat on general social software, temporary manual group chat, or independent patient management APP to implement post-discharge management, chronic disease follow-up, and health education for patients.

[0003] When using "telephone or SMS communication": Medical staff contact patients one by one via phone or SMS. This method is inefficient, makes teamwork difficult, and the content of the communication is not traceable. When using "one-on-one chat on general social media": Patients add medical staff accounts as friends on social media such as WeChat and then conduct one-on-one communication. In this method, when patients need to consult multiple medical staff such as doctors, nurses, and rehabilitation therapists, they need to contact each one individually, resulting in information fragmentation. At the same time, medical staff cannot easily view patient medical records and follow-up plans when communicating with patients, often requiring switching to a separate hospital information system (HIS), which is cumbersome. When using "temporary manual group chat": In hospital clinical settings, some departments try to create WeChat groups for patients to facilitate nursing work. This method has the problem of long group creation time due to differences in the work of medical staff and factors in the creation process. In addition, this communication method is not linked to patient records and makes it difficult to carry out detailed management after the patient leaves the hospital. When using "independent patient management APP" for communication: In clinical practice, very few large hospitals have developed dedicated APPs for nursing work. This method has low universality due to the high threshold for use, resulting in low patient willingness to download and use it, and making it difficult to promote.

[0004] In summary, the application of existing technologies in hospital post-discharge management, chronic disease follow-up, and health education faces a series of challenges and shortcomings:

[0005] 1. Low efficiency of many-to-many communication: It is difficult to form a fixed service team centered on patients. In the process of communicating with many people, patients need to repeatedly explain their condition, which is quite cumbersome.

[0006] 2. Separation of patient records from communication: During the communication process, the patient's key medical information cannot be presented in real time in the chat interface, affecting decision-making efficiency.

[0007] 3. The group creation process is complex and non-standardized: It lacks the ability to create groups with one click based on a pre-set team, making it impossible to replicate on a large scale.

[0008] 4. Service process is not traceable: Education, questionnaires, and follow-up records are scattered in various chat logs or paper forms, making it difficult to form a complete patient service timeline.

[0009] 5. Inability to achieve refined management: Lack of a unified view and screening tools for patient registration status, group entry status, and follow-up nodes.

[0010] How to solve the above problems has become an urgent technical challenge. Summary of the Invention

[0011] One objective of this invention is to provide a patient-based refined management service method that enables the convenient establishment of standardized and exclusive co-management groups for each patient and integrates patient files into the group chat interface to facilitate efficient management, education, follow-up, and evaluation.

[0012] Another objective of this invention is to provide a system employing the above-described patient-based refined management service method based on a one-patient-group model.

[0013] To achieve the above objectives, the technical solution adopted by the present invention is as follows:

[0014] On one hand, the present invention provides a method for refined patient management services based on a one-patient-group model; this management service method is equipped with a management system for setting up an independent service team for each patient to achieve one-patient-group management, and the management service method includes the following steps:

[0015] S1. In the management system, at least one service team is pre-configured, and each service team includes a team identifier, a member list, and a welcome message for joining the group. The member list predefines the fixed member structure, role permissions, and a rendered personalized welcome message template for the service team.

[0016] S2. Establish a patient WeChat friend pool and a patient file pool in the management system, and record the file creation status and team co-management group entry status of each WeChat friend.

[0017] S3. Responding to a creation command triggered by a user at any entry point in the chat interface, friend list, or profile list, the management system obtains the target patient's identifier based on the creation command and automatically matches a preset service team. Through the open interface of the instant messaging platform, it automatically establishes a dedicated co-management group chat named after the target patient and the service team according to preset standards. At the same time, when the group chat is established, the patient and all members of the service team are added to the dedicated co-management group chat at once. The management system also synchronously binds the patient's friend records to the dedicated co-management group chat and updates the patient's entry status to complete the group chat establishment. Then, the system automatically calls the message sending engine to replace the placeholder variable based on the patient's nickname in the welcome message template with the actual value to form a welcome message based on the patient's nickname. The management system pushes the welcome message based on the patient's nickname, along with the pre-bound profile link and educational content, to the dedicated co-management group chat.

[0018] S4. Based on the binding relationship between the group chat and the patient's file, for any service team, the patient's file information and at least one service tool control are displayed in real time in the corresponding dedicated co-managed group chat section for management, education, follow-up and evaluation.

[0019] Preferably, in step S3, the entire process of establishing a dedicated co-managed group chat, adding people to the group, binding relationships, and sending welcome messages and attachments is executed serially or in parallel in the background. The time from user triggering to the group chat becoming available is less than 3 seconds, and the association record between patient files and the group chat is automatically completed within this time.

[0020] Preferably, in step S3, a parent-child group relationship is formed between the established dedicated co-managed group chat and the system. The system's backend database synchronously stores a triplet binding record of "Patient ID - File ID - Service Group ID" when the dedicated co-managed group chat is created. This record is used for identity verification when any service tool control subsequently pushes messages to this group chat. This ensures that every educational and follow-up visit can be accurately pushed to the corresponding user, solving the pain point of "not being able to find the right person" in the traditional model.

[0021] Preferably, in step S3, the management system automatically identifies the disease keywords corresponding to the target patient based on the patient's unique identifier. After or simultaneously pushing a welcome message, it pushes personalized health education content matching the keywords to the dedicated co-management group chat. The system also monitors whether the current time is a statutory holiday; if so, it automatically pushes holiday greetings in the dedicated co-management group chat. This increases patient engagement with the hospital.

[0022] Preferably, in step S2, the patient's WeChat friend pool supports multi-condition filtering by addition date, adder, file creation status, group entry status, and tags to trigger step S3 in batches to create multiple one-to-one exclusive co-managed group chats.

[0023] Preferably, in step S4, the service tool control includes one or more of the following modules: educational article module, questionnaire module, service evaluation module, or follow-up registration module; the dedicated co-managed group chat also supports medical staff to add, edit, or share patient files, as well as synchronously update the patient file pool.

[0024] Preferably, in step S1, the service team includes a person in charge, a doctor, and a nurse; wherein the person in charge has the authority to change doctor or nurse members in the group with one click to reduce the need for rebuilding in the dedicated co-managed group chat. The person in charge is the head nurse.

[0025] On the other hand, the present invention provides a system for refined patient management services based on the above-mentioned one-patient-group model. This system is a management system, including a service team management module, a friend pool management module, a patient record pool management module, a one-patient-group creation module, and a sidebar integration module, wherein:

[0026] The service team management module is used to create and manage service teams and store team configurations. Team configurations include at least a team identifier, a fixed member structure, role permissions, and a welcome message template for joining the group.

[0027] The friend pool management module is used to store patients' WeChat friend information and their registration and group entry status indicators;

[0028] The patient record pool management module is used to store detailed patient records and supports filtering and batch operations;

[0029] The "One Patient, One Group" creation module provides three trigger entry points: chat bar, WeChat friends, and patient files. It calls the open interface of the instant messaging platform to automatically create a dedicated co-management group chat and complete the process of adding members, sending welcome messages, and binding relationships. The relationship binding forms a triple association record of "Patient ID-File ID-Service Group ID" in the system database.

[0030] The sidebar integration module embeds a patient profile view and at least one service function panel within the interface of the dedicated co-managed group chat. Any message from the service function panel is pushed based on the triplet association record.

[0031] Preferably, the system also includes a follow-up management unit for automatically generating follow-up tasks based on treatment nodes in the patient's file, and the follow-up management unit is also used to display pending follow-up tasks in the dedicated co-management group chat and support sending follow-up reminders to the dedicated co-management group chat with one click.

[0032] Preferably, the sidebar integration module further includes a common phrases and Q&A library submodule for supporting the calling and collection of personal and institutional common phrases.

[0033] Preferably, the instant messaging platform is the WeChat Work platform, and its open interface is the WeChat Work API; or the instant messaging platform is a self-developed IM system that implements real-time group chat functionality through a self-built WebSocket, but still retains the core logic of one-click group creation for preset teams.

[0034] Compared with the prior art, the present invention has the following beneficial effects:

[0035] In this invention, the collaborative operation of the management service method and management system enables the creation of standardized, dedicated co-management groups for each patient and the integration of patient records into the group chat interface for efficient management, education, follow-up, and evaluation. It also offers the following advantages:

[0036] 1. Significantly improve efficiency: By pre-setting service teams and establishing exclusive co-managed group chats with one click through three entry points, the traditional manual group creation process is transformed into automatic group creation, effectively improving work efficiency and reducing the workload of medical staff.

[0037] 2. Data integration to avoid information silos: Patients' WeChat friends, files, and service groups are automatically linked through a unique identifier, supporting the filtering and quick location of patients who have not been registered or joined the group by criteria such as file status and group status, so as to achieve precise management.

[0038] 3. Service closed loop achieves full traceability: The dedicated co-management group chat integrates functions such as education, questionnaires, follow-ups, and evaluations, enabling all service records to be automatically stored in the patient's file to form a complete service timeline, which facilitates quality control and evidence collection in medical disputes.

[0039] 4. Combining standardization and personalization: Institutions can uniformly configure team QR codes, welcome slogans, and frequently used phrases to ensure service standardization; at the same time, medical staff are allowed to maintain their own frequently used phrases, taking flexibility into account.

[0040] 5. Lowering the barrier to entry for patients: Based on the WeChat ecosystem, patients do not need to download a new app. They can complete tasks such as creating a file, conducting questionnaires, and providing feedback through chat, which has a high acceptance rate. Attached Figure Description

[0041] The present invention will be further described below with reference to the accompanying drawings and embodiments.

[0042] Figure 1 This is a flowchart of a patient-based refined management service method based on a one-patient-group model, as described in this invention.

[0043] Figure 2 This is a structural block diagram of a system for a refined patient management service method based on a one-patient-group model, as described in this invention. Detailed Implementation

[0044] See Figures 1 to 2 As shown, a refined patient management service method based on a one-patient-group model is presented. This management service method includes a management system that sets up an independent service team for each patient to achieve one-patient-group management. The management service method includes the following steps:

[0045] S1. In the management system, at least one service team is pre-configured, and each service team includes a team identifier, a member list, and a welcome message for joining the group. The member list predefines the fixed member structure, role permissions, and a rendered personalized welcome message template for the service team.

[0046] S2. Establish a patient WeChat friend pool and a patient file pool in the management system, and record the file creation status and team co-management group entry status of each WeChat friend.

[0047] S3. Responding to a user's creation command triggered at any entry point in the chat interface, friend list, or profile list, the management system obtains the target patient's identifier based on the creation command, automatically matches a preset service team, and automatically establishes a dedicated co-management group chat named after the target patient and the service team according to preset standards through the open interface of the instant messaging platform. Simultaneously, the system adds the patient and all members of the service team to the dedicated co-management group chat at once. The management system also synchronously binds the patient's friend records to the dedicated co-management group chat and updates their group entry status to complete the group chat establishment. Finally, the system automatically calls the message sending engine to replace the placeholder variable based on the patient's nickname in the welcome message template with the actual value to form a message. A welcome banner based on the patient's nickname is generated and pushed to a dedicated co-management group chat via the management system, along with a pre-linked registration link and educational content. This step transforms the previously discrete "add friend" action into a structured starting point of "admission registration + health intervention." This process allows patients to experience personalized and professional service from the outset, subconsciously regarding the dedicated co-management group chat as their "main battleground" for health management. This high-frequency, proactive group care and continuous knowledge delivery significantly enhance patients' reliance on and trust in the medical team, prompting them to develop a conditioned reflex-like primacy effect when facing medical problems, i.e., thinking of the hospital first, thereby effectively improving follow-up visit rates and brand loyalty.

[0048] S4. Based on the binding relationship between the group chat and the patient's file, for any service team, the patient's file information and at least one service tool control are displayed in real time in the corresponding dedicated co-managed group chat section for management, education, follow-up and evaluation.

[0049] In this embodiment, in step S3, the entire process of establishing a dedicated co-managed group chat, adding people to the group, binding relationships, and sending welcome messages and attachments is executed serially or in parallel in the background. The time from user triggering to the group chat becoming available is less than 3 seconds, and the association record between patient files and the group chat is automatically completed within this time.

[0050] In this embodiment, in step S3, a parent-child group relationship is formed between the established dedicated co-managed group chat and the system. The system's backend database synchronously stores a triplet binding record of "Patient ID - File ID - Service Group ID" when the dedicated co-managed group chat is created. This record is used for identity verification when any service tool control subsequently pushes messages to this group chat. This ensures that every educational and follow-up visit can be accurately pushed to the corresponding user, solving the pain point of "not being able to find the right person or match their information" in the traditional model.

[0051] In this embodiment, in step S3, the management system automatically identifies the disease keywords corresponding to the target patient based on the patient's unique identifier. After sending a welcome message, or simultaneously, it pushes personalized health education content matching the keywords to the dedicated co-management group chat. The system also monitors whether the current time is a statutory holiday; if so, it automatically sends holiday greetings to the dedicated co-management group chat. This increases patient engagement with the hospital.

[0052] In this embodiment, in step S2, the patient's WeChat friend pool supports multi-condition filtering by addition date, adder, file creation status, group entry status, and tags to trigger step S3 in batches to create multiple one-to-one exclusive co-managed group chats.

[0053] In this embodiment, in step S4, the service tool control includes one or more of the following: a publicity article module, a questionnaire module, a service evaluation module, or a follow-up registration module; the dedicated co-managed group chat also supports medical staff to add, edit, or share patient files, as well as to synchronously update the patient file pool.

[0054] In this embodiment, in step S1, the service team includes a person in charge, a doctor, and a nurse. The person in charge has the authority to change doctor or nurse members within the group with a single click, reducing the need for rebuilding the dedicated co-managed group chat. Specifically, the person in charge is the head nurse.

[0055] On the other hand, the present invention provides a system for refined patient management services based on the above-mentioned one-patient-group model. This system is a management system, including a service team management module, a friend pool management module, a patient record pool management module, a one-patient-group creation module, and a sidebar integration module, wherein:

[0056] The service team management module is used to create and manage service teams and store team configurations. Team configurations include at least a team identifier, a fixed member structure, role permissions, and a welcome message template for joining the group.

[0057] The friend pool management module is used to store patients' WeChat friend information and their registration and group entry status indicators;

[0058] The patient record pool management module is used to store detailed patient records and supports filtering and batch operations;

[0059] The "One Patient, One Group" creation module provides three trigger entry points: chat bar, WeChat friends, and patient files. It calls the open interface of the instant messaging platform to automatically create a dedicated co-management group chat and complete the process of adding members, sending welcome messages, and binding relationships. The relationship binding forms a triple association record of "Patient ID-File ID-Service Group ID" in the system database.

[0060] The sidebar integration module embeds a patient profile view and at least one service function panel within the interface of the dedicated co-managed group chat. Any message from the service function panel is pushed based on the triplet association record.

[0061] In this embodiment, the system also includes a follow-up management unit for automatically generating follow-up tasks based on treatment nodes in the patient's file. The follow-up management unit is also used to display pending follow-up tasks in the dedicated co-management group chat and to support sending follow-up reminders to the dedicated co-management group chat with one click.

[0062] In this embodiment, the sidebar integration module also includes a common phrases and Q&A library sub-module for supporting the calling and collection of personal and institutional common phrases.

[0063] In this embodiment, the instant messaging platform is the WeChat Work platform, and its open interface is the WeChat Work API; or the instant messaging platform is a self-developed IM system that implements real-time group chat functionality through a self-built WebSocket, but still retains the core logic of one-click group creation for preset teams.

[0064] In clinical use, this embodiment utilizes a dental hospital application based on WeChat for Business:

[0065] I. Environment Configuration: The hospital has activated WeChat for Business and completed the medical version certification, and installed the third-party application developed by this system.

[0066] II. Implementation of Management Services

[0067] Step 1: Service Team Configuration

[0068] The head of the orthodontics department logs into the management system backend and goes to "Service Team Management". Click "Create Department" to create "Orthodontics Department", then click "Add Team" under this department, fill in the team name "Dr. Zhang's Orthodontics Team", and select the members: Dr. Zhang (Attending Physician), Nurse Li, and Assistant Wang.

[0069] Enable the "Allow patients to share team homepage" switch, and enter the following in the welcome message input box: "Dear {client nickname}, welcome to join Dr. Zhang's orthodontic team's exclusive co-management group chat! Please click the link below to complete the registration so that we can provide you with more precise services."

[0070] Select "File Link" as the attachment type; the management system will automatically generate a unique team QR code. Click Save.

[0071] Step Two: Adding Patients as Friends and Creating Patient Files

[0072] Patient Zhao added Dr. Zhang as a friend by scanning the team's QR code. The management system automatically recorded this friend in Dr. Zhang's "friend pool," and the associated file status was "not yet created."

[0073] Step 3: Create a dedicated co-managed group chat with one click

[0074] In his one-on-one chat with Zhao, Dr. Zhang clicked on the "Team Co-management" sidebar and saw that his friend hadn't joined any co-management groups yet. He then clicked "Create Team Co-management." The management system automatically selected the preset "Dr. Zhang's Orthodontic Team," and after 2 seconds, it notified him that the group had been successfully created and automatically redirected him to the newly created group chat, "Zhao - Orthodontic Exclusive Co-management Group Chat." The group already included Dr. Zhang, Nurse Li, Assistant Wang, and Zhao. The management system automatically sent a welcome message containing a file creation link.

[0075] Step 4: Patient File Creation and Sidebar Usage

[0076] Mr. Zhao clicked the file creation link, filled in his name, age, chief complaint, and other information, and submitted it. The management system automatically linked the file to Mr. Zhao's WeChat ID. Dr. Zhang could then refresh the sidebar of the exclusive co-management group chat to see Mr. Zhao's complete file.

[0077] Dr. Zhang clicked "Send Educational Article," selected "Post-Orthodontic Tooth Cleaning Precautions," and pushed it to the dedicated co-management group chat. Mr. Zhao received and read it. The management system automatically recorded this service activity.

[0078] A week later, based on the automatic follow-up plan (7 days after the start of orthodontic treatment), the management system generated a "Follow-up Task: Inquire if Mr. Zhao has any discomfort" in Dr. Zhang's to-do list. Dr. Zhang saw the task in the "Follow-up Management" sidebar, clicked "Send Reminder," and the management system automatically sent a message in the group: "Dr. Zhang reminds you: It's been a week since your orthodontic treatment. Have you experienced any pain or ulcers? Please reply." After Mr. Zhao replied, Dr. Zhang could mark the task as "Completed."

[0079] Step 5: Data Statistics and Batch Operations

[0080] Administrators can filter patients who are "registered but not yet in a group" from the friend pool in the management system backend, select them, and click "Batch Create Team Co-management." The management system will automatically assign a team to each patient based on their attending physician in their file, create batch groups, and send a uniform welcome message. A notification will then be sent upon completion.

[0081] In summary, the method and system described above have the advantages of enabling the convenient establishment of standardized and exclusive co-management groups for each patient and integrating patient records into the group chat interface to facilitate efficient management, education, follow-up, and evaluation.

[0082] For those skilled in the art, various other corresponding changes and modifications can be made based on the technical solutions and concepts described above, and all such changes and modifications should fall within the protection scope of the claims of this invention.

Claims

1. A method for refined patient management services based on a one-patient-group model; characterized in that: This management service method has a management system that sets up an independent service team for each patient to achieve a one-patient-group management model. The management service method includes the following steps: S1. In the management system, at least one service team is pre-configured, and each service team includes a team identifier, a member list, and a welcome message for joining the group. The member list predefines the fixed member structure, role permissions, and a rendered personalized welcome message template for the service team. S2. Establish a patient WeChat friend pool and a patient file pool in the management system, and record the file creation status and team co-management group entry status of each WeChat friend. S3. Responding to a creation command triggered by a user at any entry point in the chat interface, friend list, or profile list, the management system obtains the target patient's identifier based on the creation command and automatically matches a preset service team. Through the open interface of the instant messaging platform, it automatically establishes a dedicated co-management group chat named after the target patient and the service team according to preset standards. At the same time, when the group chat is established, the patient and all members of the service team are added to the dedicated co-management group chat at once. The management system also synchronously binds the patient's friend records to the dedicated co-management group chat and updates the patient's entry status to complete the group chat establishment. Then, the system automatically calls the message sending engine to replace the placeholder variable based on the patient's nickname in the welcome message template with the actual value to form a welcome message based on the patient's nickname. The management system pushes the welcome message based on the patient's nickname, along with the pre-bound profile link and educational content, to the dedicated co-management group chat. S4. Based on the binding relationship between the group chat and the patient's file, for any service team, the patient's file information and at least one service tool control are displayed in real time in the corresponding dedicated co-managed group chat section for management, education, follow-up and evaluation.

2. The patient refined management service method based on the one-patient-group model according to claim 1, characterized in that: In step S3, the entire process of establishing a dedicated co-managed group chat, adding people to the group, binding relationships, and sending welcome messages and attachments is executed serially or in parallel in the background. The time from user triggering to the group chat becoming available is less than 3 seconds, and the association record between patient files and the group chat is automatically completed within this time.

3. The patient refined management service method based on the one-patient-group model according to claim 2, characterized in that: In step S3, a parent-child group relationship is formed between the established exclusive co-managed group chat and the system. When the exclusive co-managed group chat is created, the system's backend database synchronously stores a triplet binding record of "Patient ID-File ID-Service Group ID". This record is used for identity verification when any service tool control pushes messages to the group chat in a precise manner.

4. The patient refined management service method based on the one-patient-group model according to claim 1, characterized in that: In step S3, the management system automatically identifies the disease keywords corresponding to the target patient based on the patient's unique identifier. After or simultaneously with the push of a welcome message, it pushes personalized health education content matching the keywords to the exclusive co-management group chat. The system also monitors whether the current time is a statutory holiday. If so, it automatically pushes holiday greetings to the exclusive co-management group chat.

5. The patient refined management service method based on the one-patient-group model according to claim 1, characterized in that: In step S2, the patient's WeChat friend pool supports multi-condition filtering by addition date, adder, file creation status, group entry status, and tags to trigger step S3 in batches to create multiple one-to-one exclusive co-management group chats.

6. The patient refined management service method based on the one-patient-group model according to claim 1, characterized in that: In step S4, the service tool control includes one or more of the following modules: educational article module, questionnaire module, service evaluation module, or follow-up registration module; the dedicated co-managed group chat also supports medical staff to add, edit, or share patient files, as well as synchronously update the patient file pool.

7. The patient refined management service method based on the one-patient-group model according to claim 1, characterized in that: In step S1, the service team includes a person in charge, a doctor, and a nurse; the person in charge has the authority to change the doctor or nurse members in the group with one click to reduce the need to rebuild the exclusive co-managed group chat.

8. A system employing the patient refined management service method based on a one-patient-group model as described in any one of claims 1 to 7, characterized in that: It is a management system, including a service team management module, a friend pool management module, a file pool management module, a patient-group creation module, and a sidebar integration module, among which: The service team management module is used to create and manage service teams and store team configurations. Team configurations include at least a team identifier, a fixed member structure, role permissions, and a welcome message template for joining the group. The friend pool management module is used to store patients' WeChat friend information and their registration and group entry status indicators; The patient record pool management module is used to store detailed patient records and supports filtering and batch operations; The "One Patient, One Group" creation module provides three trigger entry points: chat bar, WeChat friends, and patient files. It calls the open interface of the instant messaging platform to automatically create a dedicated co-management group chat and complete the process of adding members, sending welcome messages, and binding relationships. The relationship binding forms a triplet association record of "Patient ID-File ID-Service Group ID" in the system database. The sidebar integration module embeds a patient profile view and at least one service function panel within the interface of the dedicated co-managed group chat. Any message from the service function panel is pushed based on the triplet association record.

9. The system according to claim 8, characterized in that: The system also includes a follow-up management unit for automatically generating follow-up tasks based on treatment milestones in patient records. This follow-up management unit is also used to display pending follow-up tasks in the dedicated co-management group chat and supports sending follow-up reminders to the dedicated co-management group chat with one click.

10. The system according to claim 8, characterized in that: The sidebar integration module also includes a common phrases and Q&A library sub-module for supporting the retrieval and collection of frequently used phrases by individuals and organizations.