Team management model for diabetic patients in urban community / 中华全科医师杂志

ABSTRACT

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 2 diabetic 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 2 diabetic patients in urban community.