基于并发症筛查工作站的基层糖尿病管理策略构建  

Construction of diabetes management strategy in primary care based on the complication screening workstation

作　　者：裴丰年 黄诚远 葛明轩 秦晟博 谢波[1] 郭海健[2] 孙子林[3] 邱山虎[4] Pei Fengnian;Huang Chengyuan;Ge Mingxuan;Qin Shengbo;Xie Bo;Guo Haijian;Sun Zilin;Qiu Shanhu(School of Medicine,Southeast University,Nanjing 210000,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210000,China;Department of Endocrinology,Zhongda Hospital,Southeast University,Nanjing 210009,China;Department of General Practice,Zhongda Hospital,Southeast University,Nanjing 210009,China)

机构地区：[1]东南大学医学院,南京210000 [2]江苏省疾病预防控制中心,南京210000 [3]东南大学附属中大医院内分泌科,南京210009 [4]东南大学附属中大医院全科医学科,南京210009

出　　处：《中华全科医师杂志》2024年第7期747-751,共5页Chinese Journal of General Practitioners

基　　金：全国医学专业学位研究生教育指导委员会全科医学教育教学研究课题(B-YXGP20210301-02);江苏省重点研发计划项目(BE2022828);江苏省老年健康科研项目(LKM2022027)。

摘　　要：开展糖尿病及糖尿病并发症筛查有助延缓糖尿病病情进展。该研究基于前期构建的“基层糖尿病并发症筛查工作站”及“二筛三防”理念,提出基于并发症筛查工作站的医院-社区-家庭三元联动糖尿病管理策略。文章就该管理策略提出的背景来源、组织架构、运行机制和实施流程等展开论述,以期为构建适宜实用且可推广的基层糖尿病管理模式,提供一定的理论依据支撑。Screening for diabetes and its complications contributes to slowing the progression of diabetes mellitus.Based on the setting of grass-roots diabetes complication screening workstation with the concept of two stages of screening and three levels of prevention,we proposed a hospital-community-family integrated diabetes management strategy.This article discusses the background,organization structure,operation mechanism and implementation process of this strategy,aiming to provide reference for constructing a suitable and practical grass-roots diabetes management model.

关 键 词：糖尿病 筛查 并发症 全科医师 基层医疗卫生机构 

分 类 号：R587.1[医药卫生—内分泌]