城市社区2型糖尿病诊治临床路径的设计及双向转诊机制的建立  

Development of clinical pathways and two-way referral system for type 2 diabetes in an urban community

作　　者：梁万年[1] 曹红霞[2] 路孝琴[2] 彭小霞[2] 刘民[3] 杜雪平[4] 周海虹[4] 王海燕[4] 李亚玉[4] 庄晓明[4] 李雅媛[4] 侯武姿[4] 戴秋颖[4] 乌正赉[5] 

机构地区：[1]北京市卫生局,100053 [2]首都医科大学公共卫生与家庭医学学院 [3]北京大学医学部 [4]首都医科大学附属复兴医院 [5]中国协和医科大学基础医学院

出　　处：《中华全科医师杂志》2005年第3期156-161,共6页Chinese Journal of General Practitioners

摘　　要：目的　开发设计适合我国城市社区人群2型糖尿病诊治的临床路径。方法　采用文献法、专家会议法、现场考察和预试验的方法,研制中国城市社区人群的2型糖尿病诊治的临床路径。结果　建立了2型糖尿病的社区照顾路径、酮症酸中毒专科诊疗路径、低血糖症患者专科诊疗路径、2型糖尿病患者社区专科双向转诊技术路径和管理路径、单纯2型糖尿病患者专科诊疗路径。结论2型糖尿病诊治的临床路径是以循证医学为指导,在强调诊疗服务标准化的同时,突出了全科医学连续性照顾的特点。Objective The purpose of this study was to develop clinical pathways and two-way referral system for management of the patients with type 2 diabetes in an urban community.MethodsClinical pathways and two-way referral for management of the patients with type 2 diabetes in urban communities were developed by literature retrieval and review,expert discussion,field ovservation and preliminary test and implenented,on a trial basis,in an urban community.Results The clinical pathways for management of the patients with type 2 diabetes in urban communities were develope,including those in community,in hospital for ketoacidosis,hypoglycemia and uncomplicated diabetes,and two-way referral technical and management pathways between community health care service centers and hospitals.Conclusions The clinical pathways for the patients with type 2 diabetes is evidence-based,which not only emphasize the standardization of health care service,but also stand out the characteristics of continuity of health care in general practice

关 键 词：2型糖尿病 临床路径 患者 双向转诊机制 诊治 连续性照顾 社区人群 专科 文献法 结论 

分 类 号：R587.1[医药卫生—内分泌] R197[医药卫生—内科学]