First, the purpose and significance of establishing standardized diabetes management center in primary medical and health institutions
1. Promote the combination of medical treatment and prevention, improve the quality of basic public health services in primary medical and health institutions, improve the management compliance rate and reduce complications.
2. Establish a high-level primary diabetes prevention and treatment team, improve the comprehensive diabetes prevention and treatment ability of general practitioners, and help family doctors sign contracts.
3. Create a standardized position for comprehensive prevention and treatment of diabetes at the grass-roots level, realize the first diagnosis of diabetes in the community, make accurate two-way referral, and implement a graded diagnosis and treatment system.
Two, the basic medical and health institutions diabetes standardized management center construction requirements
1. Staffing
At least 1 middle-level or above doctors with diabetes prevention, diagnosis and management capabilities. There are at least two nurses who are good at diabetes prevention and treatment. Medical personnel must refer to the national and industry grass-roots guidelines, complete the relevant standardized training organized by the state or local organizations, and obtain a certificate of qualification.
2. Personnel capacity requirements
Objective: To improve the diagnosis and treatment level and management ability of primary doctors for diabetes in an all-round way, and promote the graded diagnosis and treatment of diabetes. Give full play to the integration of medical care and prevention, collaborative diagnosis and treatment, and team service.
Guide patients to seek medical treatment reasonably, standardize the treatment process, improve the treatment compliance, and make patients' blood sugar, blood pressure and blood lipid fully meet the standards, thus delaying or reducing the occurrence of complications, reducing the disability rate and mortality rate, improving the quality of life and prolonging life. For the management of diabetes, grassroots doctors can be "reliable", "well managed" and "trustworthy" to achieve the goal of full coverage and homogeneous diagnosis and treatment of diabetes.
Duties: Duties include screening, diagnosis, treatment, follow-up, education and management of diabetic patients. It is required to standardize the diagnosis and treatment process and implement the management of primary diabetes with homogeneity.
It is pointed out that grass-roots medical and health institutions should undertake health education, screening, diagnosis, treatment and long-term follow-up management of diabetes, find diabetic patients who are not suitable for grass-roots diagnosis and treatment and refer them in time. The goal of management is to fully control blood sugar, blood pressure and blood lipid to reach the standard, reduce the occurrence of complications, and reduce the disability rate and premature death rate.