Practice and thinking of "1358 mode of diabetes" based on "specialized and accurate management of general practitioners" postprint

Abstract: Background At present, the difficulties and hot spots of poor diagnosis and treatment ability of diabetes, low complication screening, low blood sugar standard monitoring rate and low blood sugar compliance rate in the community are the problems that general practitioners need to think and solve in the health management of diabetes.Let general practitioners become medical specialists in general practice,Realize "specialized and accurate management of general practitioners",It is necessary to explore and innovate the standardized management mode of diabetes community.Objective Exploration Based on "specialized and accurate management of general practitioners"Suitable for community development、accessible and available diabetes health service mode、Regional collaborative path、 Development strategy of general specialty integration.Methods 212 cases of diabetes mellitus were selected from May 2020 to July. 106 cases in the observation group and 106 cases in the control group,The observation group strengthened health belief、Application of "1358 mode" and implementation of "specialized and accurate management of general practitioners"; Daily follow-up management in the control group; Accumulated management for 1 year. Baseline evaluation, process evaluation and outcome evaluation were used to observe the practical effect of "1358 mode" of diabetes.Results Before and after management and compared with the control group,One year later, the comprehensive monitoring rate of blood glucose in one month increased from 22.64% to 54.72%;The comprehensive compliance rate of blood glucose、 blood pressure and blood fat increased by 11.33%;FPG, 2hPBG, HbA1c compliance rate and patients' diabetes community attendance rate increased significantly (P < 0.05). Conclusion Community diabetes diagnosis, screening, standardized management needs to be improved. The "1358 mode" combined with "general practice and specialty" can break through the bottleneck of community diabetes specialist resources shortage, and further enhance the management level and service connotation of general practitioners.