Longitudinal study of a community hospital integrated model for diabetes management in the Beijing Jingsong community
Methods: Four hundred forty-one patients with type 2 diabetes residing in Jingsong Community were randomly assigned to intensive and standard groups. Metabolic parameters were measured in the two groups at baseline and after 36 months of management to compare the rate of goal achievement.
Results: After comprehensive management, the overall control rate in the intensive group was increased from 2.7% to 9.6% compared with 2.3%‐4.5% in the standard group. Specifically, the control rates for fasting plasma glucose, glycosylated hemoglobin, and blood pressure in the intensive group were significantly increased from 54.1%, 40.0%, and 68.2% to 85.5%, 74.6%, and 89.1%, respectively. The control rate for glycosylated hemoglobin in the intensive group was significantly higher than the standard group after 36 months of treatment.
Conclusion: The community hospital integrated model for longitudinal management effectively improved the control rate of glycosylated hemoglobin and the overall control rate in patients with type 2 diabetes.
Document Type: Research Article
Publication date: March 1, 2014
Family Medicine and Community Health (FMCH) is an open-access journal focusing on subjects that are common and relevant to family medicine/general practice and community health. The journal publishes relevant content across disciplines such as epidemiology, public health, social and preventive medicine, research and evidence based medicine, community health service, patient education and health promotion and health ethics. The journal has a specific focus on the management of chronic illness particularly diabetes, ischaemic heart disease, chronic heart failure, hypertension, bronchial asthma, chronic obstructive airways disease and common mental illness. FMCH is published by Compuscript http://www.compuscript.com on behalf of the Chinese General Practice Press http://www.chinagp.net.
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