Health management models of type 2 diabetes mellitus in domestic and foreign urban communities
LIU Guozhi1, YUAN Kongjun1, ZHUANG Wei1, ZHOU Guangqing2
1. School of Health Management, Southern Medical University, Guangzhou, Guangdong 510515, China; 2. Health Management Center, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China
Abstract:Type 2 diabetes mellitus (T2DM) has become a worldwide epidemic, which poses a great threat to the global healthcare system. Based on review of publications pertaining to T2DM health management in urban communities, this article focuses on the health management models of T2DM in foreign urban communities, including insurance companies and medical institutions, self-management plans, community management, community and home hybrid services, artificial intelligence + big data management, social media and online community management, precision health management, and proposes suggestions for T2DM health management in Chinese urban communities based on currently available national management models, including increasing the standardization of the management level, improving the supporting facilities of professional talents, mobilizing social forces to support, improving the scientific and technological level of management tools, strengthening the advantages of traditional Chinese medicine and exploring novel personalized models, so as to provide insights into promoting the sustainable development of T2DM health management in Chinese urban communities.
[1] International Diabetes Federation.Diabetes around the world in 2021[EB/OL].[2023-01-26].http://www.diabetesatlas.org. [2] ELGART J F,SILVESTRINI C,PRESTES M,et al.Drug treatment of type 2 diabetes:its cost is significantly associated with HbA1c levels[J/OL].Int J Clin Pract,2019,73(4)[2023-01-26].https://doi.org/10.1111/ijcp.13336. [3] EPPING-JORDAN J E,GALEA G,TUKUITONGA C,et al.Preventing chronic diseases:taking stepwise action[J].Lancet,2005,366(9497):1667-1671. [4] 符美玲,冯泽永,陈少春.发达国家健康管理经验对我们的启示[J].中国卫生事业管理,2011,28(3):233-236. [5] MUKAMEL D B,TEMKIN-GREENER H,DELAVAN R,et al.Team performance and risk-adjusted health outcomes in the Program of All-Inclusive Care for the Elderly(PACE)[J].Gerontologist,2006,46(2):227-237. [6] MAXINE JOHNSON RGN BSC(HONS)MSC.Understanding issues involved in the transfer of diabetes care to general practice:the patient perspective[J].Qual Prim Care,2006,14:247-252. [7] 田向阳. 芬兰北卡健康促进项目[C]//第三届中国健康教育与健康促进大会论文集,2010:333-336. [8] PRICE C P,St JOHN A.Managing diabetes in the community setting[J].Point Care,2006,5(2):52-57. [9] GOFIN J,GOFIN R,ABRAMSON J H,et al.Ten-year evaluation of hypertension,overweight,cholesterol,and smoking control:the CHAD program in Jerusalem.Community Syndrome of Hypertension,Atherosclerosis and Diabetes[J].Prev Med,1986,15(3):304-312. [10] Medical X Press.Artificial intelligence could help predict future diabetes cases[EB/OL].[2023-01-26].https://medicalxpress.com/news/2020-03-artificial-intelligence-future-diabetes-cases.html. [11] 陈伟菊,张诗毅.糖尿病远程管理模式的国内外研究进展[J].中华肥胖与代谢病电子杂志,2016,2(4):205-208. [12] 美国FDA批准首个手机应用[J].中国食品药品监管,2014(7):8. [13] COLLINS F S,VARMUS H.A New initiative on precision medicine[J].N England J Med,2015,372(9):793-795. [14] 叶琪. 糖尿病健康管理模式的研究进展综述[J].影像研究与医学应用,2018,2(3):1-3. [15] 姬书瑶,曾慧,王红红,等.糖尿病社区管理模式的研究进展[J].护理学杂志,2017,32(5):101-104. [16] 麻倩,井坤娟,郭玉芳.糖尿病患者自我管理现状及影响因素研究[J].现代预防医学,2019,46(5):915-920. [17] 李爽旗,蒙连新,王焬圣,等.共同照护模式在糖尿病患者管理的研究进展[J].糖尿病新世界,2021,24(10):194-198. [18] 余璐华,刘艳,黄妙玲,等.我国原发性高血压患者血压控制微信干预效果评价的Meta分析[J].预防医学,2019,31(9):891-896. [19] 郝岚.三诺:以服务为销售赋能[J].中国药店,2017(7):102-103. [20] 陈佳莉. 基于中医治未病的糖尿病健康管理模式探讨[J].光明中医,2021,36(13):2115-2117. [21] 田跃清. 以顾客为核心,构建慢病管理服务体系[J].中国药店,2021(8):66-67. [22] 杨晓春,徐谷根,范美球.MDCT管理模式在肥胖糖尿病患者中的实践与效果[J].实用临床护理学电子杂志,2020,5(49):171-172. [23] 方媛,哈小琴.肠道微生物与糖尿病病理机制研究进展[J].预防医学,2022,34(3):253-257. [24] 余诗琴,尹玉杰,张建中.间充质干细胞及诱导分化后胰岛功能转归的相关性分析[J].中国实验诊断学,2022,26(8):1254-1257. [25] 毕宇芳. 糖尿病及并发症的危险因素和精准预防研究现状[J].内科理论与实践,2019,14(3):141-143. [26] 李茜茜,边森森,郭清.糖尿病前期人群管理模式研究进展[J].中国全科医学,2021,24(25):3258-3262. [27] 牟丽,夏英华,何群,等.中国糖尿病管理研究热点分析[J].预防医学,2020,32(3):235-239. [28] 胡小英,翁哲芳,蒋良华,等.社区中西医结合糖尿病防治管理探索[J].上海医药,2016,37(18):42-44,62. [29] 杜悦英. 博鳌乐城国际医疗旅游先行区:打造前沿“医疗特区”[J].中国经济报告,2022(2):58-61. [30] 刘济泳,陈水成,谭智进,等.医用三氧治疗稳定期2型糖尿病的临床研究[J].中国实用医药,2021,16(15):21-24.