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家庭医生服务团队在社区糖尿病综合管理中的作用探索 预览 被引量:26

Role of Family Doctor Service Team in Community - based Integrated Management of Diabetes
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摘要 本文以北京市丰台区方庄社区卫生服务中心组建的家庭医生服务团队在社区糖尿病综合管理中的作用为例,介绍了家庭医生服务团队的建设、服务模式及内容,以社区糖尿病患者签约率、血糖控制率、规范健康管理率、患者就医行为变化情况等评价该服务模式效果,初步探索和总结了一种适合城市社区2型糖尿病患者综合管理的服务模式,为社区慢性病管理与防治提供借鉴。 We elaborated the role of the family doctor service team built by Fangzhuang Community Health Service Center in Fangzhuang District, Beijing in community - based integrated management of diabetes from the aspects of its building, service pattern, service contents, and service effect assessed from the rate of signing a contract with a family doctor, rate of blood glucose under control, rate of standardized health management, and health - seeking behavior in diabetic patients. Based on this, we explored and developed a service pattern that is suitable for the integrated management of type 2 diabetic patients in urban communities, which is contribute to the community -based chronic disease management, prevention and treatment in China.
作者 魏学娟 吴浩 于海洋 崔树起 葛彩英 贾鸿雁 王丽 高文娟 黄雯 梁万年 WEI Xue -juan1, WU Hao1, YU Hai - yang1, CUI Shu - qi2, GE Cai - ying1, JIA Hong - yan1, WANG Li1, GAO Wen -juan2, HUANG Wen3, LIANG Wan - nian2 * I. Fangzhuang Community Health Service Center, Capital Medical University, Beifing 100078, China 2. School of General Practice and Continuing Education, Capital Medical University, Beijing 100069, China 3. Beijing Tongren Hospital, CMU, Beijing 100730, China
出处 《中国全科医学》 北大核心 2017年第27期3349-3352,共4页 Chinese General Practice
基金 首都卫生发展科研专项项目(2014-2-7051) 北京市科委2013年资助课题(D131100004713002)
关键词 社区卫生服务 糖尿病 2型 家庭医生服务团队 综合管理 Community heahh services Diabetes mellitus, type 2 Family physicians' service team Integrated management
作者简介 粱万年,教授,博士生导师;E-mail:medicalscience@yeah.net
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