Effect of family doctor-specialist double-contract service on management of type 2 diabetic patients in community
10.3760/cma.j.cn114798-20220407-00272
- VernacularTitle:家庭医生双签约服务模式管理社区2型糖尿病患者的效果研究
- Author:
Jianling SONG
1
;
Zheng YE
;
Shuping ZHENG
;
Hongping WANG
;
Zhumei HAN
;
Ling SHI
;
Shanzhu ZHU
Author Information
1. 上海市普陀区长风街道长风社区卫生服务中心，上海 200062
- Keywords:
Diabetes mellitus, type 2;
Disease management;
Family doctor;
Dual contract service
- From:
Chinese Journal of General Practitioners
2022;21(12):1116-1120
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of family doctor-specialist dual-contract service model on the management of type 2 diabetic patients in the community.Methods:Two hundred patients with type 2 diabetes mellitus (T2DM)who were treated in Changfeng Community Health Service Center between February 2019 and January 2021 were selected as the study objects by cluster sampling method. Patients were randomly divided into study group and control group with 100 cases in each group. The control group was managed with the conventional family doctor contract service, and the study group was managed with the family doctor-specialist double contract service. After one year of management, the fasting blood glucose, 2 h-postprandial blood glucose, glycosylated hemoglobin, diet control, blood glucose monitoring, medication compliance, exercise and other health behaviors, quality of life and satisfaction of patients were compared between two groups.Results:After intervention, fasting blood glucose, 2 h-postprandial blood glucose and glycosylated hemoglobin in the study group were significantly lower than those in the control group ( t=10.29, 8.49, 7.99, all P<0.05); the health related behaviors such as diet control, exercise behavior, blood glucose monitoring, and medication compliance in the study group were significantly better than those in the control group ( t=9.78, 6.72, 39.81, 7.88, all P<0.05); the quality of life in patients of study group was higher than that of the control group ( P<0.05); the satisfaction rate in study group was higher than that of control group (90.0% vs. 69.0%, χ 2=6.39, P=0.031). Conclusion:Compared with conventional family contract service model, the double contract service improves patient self-management, helps to reduce the blood glucose level and gains high patients′ satisfaction, which is worth promoting and applying in the management of type 2 diabetic patients in the community.
