摘要
以杭州市下城区文晖街道社区卫生服务中心组建的糖尿病专病服务团队在社区糖尿病综合管理中的作用为例,介绍糖尿病专病服务团队的建设、服务模式及内容,以社区糖尿病患者血糖控制率、规范管理率、糖尿病患者签约率等评价服务模式效果,初步探索和总结以“全科医生签约门诊一糖尿病首席医生专病门诊一上级医院专科医生糖尿病联合门诊.上级医院”为连接,适合城市社区2型糖尿病患者综合管理的服务模式,并形成分级转诊通道,为社区糖尿病管理与防治提供借鉴。
Taking Hangzhou Wenhui Subdistrict Community Health Service Center as an example, this article introduces the construction,service pattern and content of diabetes special management team in the urban community.The article also evaluated the roles of the model in blood glucose control, comprehensive management,contracted service with type 2diabetic patients.This hierarchical referral system consisted of contracted general practitioner (GP),diabetes special clinic in health service center, joint diabetes clinic with hospital specialist,specialist service in tertiary hospital.This model would be an ideal approach for comprehensive management of type 2diabetic patients in urban community.
作者
郑英奇
崔蝶
余云峰
汪灏
曹青
Zheng Yingqi;Cui Die;Yu Yunfeng;Wang Hao;Cao Qing(Wenhui Subdistrict Community Health Service Center,Xiacheng District of Hangzhou,Hangzhou 310004,China)
出处
《中华全科医师杂志》
2018年第11期954-956,共3页
Chinese Journal of General Practitioners
关键词
社区卫生服务
糖尿病
2型
疾病管理
Community health services
Diabetes mellitus,type 2
Disease management
