城市社区2型糖尿病双向转诊路径应用的评价研究

目的 评价所建立的适合我国城市社区人群的2型糖尿病双向转诊路径的效果、效益、可行性和可推广性。方法 采用非随机同期对照试验和个人深入访谈，对所建立的双向转诊路径进行评价。结果 实施2型糖尿病双向转诊机制有利于缩短患者的就诊时间、减少不必要的服务项目、节约医疗费用、提高治疗效果并使服务具有连续性。结论 2型糖尿病双向转诊路径作为一个疾病管理模式具有一定的成本效益。

Evaluation on the Application of Clinical Two-way Referral Pathway for Type 2 Diabetes Mellitus in Urban Community

Objective The aim of this study was to evaluate the effectiveness, benefit, feasibility and extrapolability of the clinical two-way referral pathway developed in urban community for patients with type 2 diabetes mellitus.Methods The clinical two-way referral pathway developed in urban community was evaluated by non-random concurrent controlled trial and individual depth interview.Results The clinical two-way referral pathway for type 2 diabetes mellitus was useful to shorten the delayed admission time, to reduce the redundant medical service, to decrease the medical cost, to improve the treatment effect and to keep the continuity of the service.Conclusion The clinical two-way referral pathway for patients with type 2 diabetes mellitus may be a cost-benefit model for disease management.