Longitudinal study of a community hospital integrated model for diabetes management

Longitudinal study of a community hospital integrated model for diabetes management in the Beijing Jinsong community

Authors: Zhang, Jian-Dong 1; Zhuang, Ning 1; Yuan, Ming-Xia2; Gao, Li-Juan1; Bian, Chuan 1; Chen, Huai-Ning 1; Chi, Qing 1; Hui, Su-Qing1; Li, Gui-Ying 1; Su, Yan-Li1; Bao, Hong-Song 1; Wan, Gang 3; Yang, Guang-Ran 2; Yuan, Shen-Yuan 2

Objective: To determine the effects of a community hospital integrated model on the longitudinal management of diabetic patients.
Methods: Four hundred forty-one patients with type 2 diabetes residing in Jinsong 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.

Keywords: Diabetes, community management, overall control

DOI: http://dx.doi.org/10.15212/FMCH.2014.0108

Affiliations: 1: 100021 Jinsong Community Health Service Center, Beijing Chaoyang District 2: Department of Endocrinology, Capital Medical University, 100730 Beijing Tongren Hospital 3: Medical Record Statistics Office, Capital Medical University, 100015 Beijing Ditan Hospital