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背景优化糖尿病管理包括频繁的监测和实现预期治疗的目标。初级护理糖尿病门诊提供的“一站式服务”可方便更多的定期复查和改善患者的护理。方法回顾性分析2012年堪培拉参加城市原住民社区卫生服务(ACCHS)的成人2型糖尿病患者(n=65)和未参加ACCHS的患者,比较两组患者满足澳大利亚皇家全科医学院指导治疗目标的比例。结果患者的平均年龄为56岁,其中29%为吸烟者。参加ACCHS的糖尿病患者与未参加患者比较,符合糖尿病检查指南的比例、肺炎球菌接种情况以及降血糖药物的使用情况有明显差异,但两组的临床疗效无差异。讨论城市原住民ACCHS中,综合性门诊可改善糖尿病的管理,其中包括提高定期复查率以及疫苗接种率,但并没有足够的证据表明临床效果也随之提高。文中的模型也可以转移到其他初级卫生保健机构。
Background Optimization Diabetes management includes the goal of frequent monitoring and achieving the desired treatment. Primary care Diabetes clinics provide “one-stop service ” to facilitate more regular review and improve patient care. Methods A retrospective analysis of adults with type 2 diabetes mellitus (n = 65) and those not enrolled in ACCHS during Canberra Participation in Urban Aboriginal Community Health Services (ACCHS) in 2012 was conducted to compare two groups of patients meeting the goals of the Australian Royal College of Pharmacology proportion. Results The average age of patients was 56 years, of whom 29% were smokers. There was a significant difference in the proportion of patients with diabetes who participated in ACCHS and those who did not participate in the diabetes checkup guidelines, the situation of pneumococcal inoculation and the use of hypoglycemic drugs. However, there was no difference in clinical efficacy between the two groups. DISCUSSION In the Urban Aboriginal ACCHS, a comprehensive outpatient clinic can improve the management of diabetes, including regular review and vaccination rates, but there is not enough evidence to show that clinical outcomes have increased. The model in the article can also be transferred to other primary health care institutions.