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Original Research
Longitudinal study of a community hospital integrated model for diabetes management in the Beijing Jingsong community
  1. Jiandong Zhang1,
  2. Ning Zhuang1,
  3. Mingxia Yuan3,
  4. Lijuan Gao1,
  5. Chuan Bian1,
  6. Huaining Chen1,
  7. Qing Chi1,
  8. Suqing Hui1,
  9. Li Guiying1,
  10. Yanli Su1,
  11. Hongsong Bao1,
  12. Gang Wan2,
  13. Guangran Yang3 and
  14. Shenyuan Yuan3
  1. 1.Jingsong Community Health Service Center, Beijing 100021, China
  2. 2.Medical Record Statistics Room, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
  3. 3.Endocrinology Department, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  1. Corresponding Authors: Shenyuan Yuan, Guangran Yang, Endocrinology Department, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China, E-mail: fulvic{at}126.com, yanggr_55{at}126.com

Abstract

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 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.

  • Diabetes
  • Community management
  • Overall control

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.15212/FMCH.2014.0108

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