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扎根基层夯实基础,助力糖尿病防治事业建设

2018-01-15 贾伟平 中华医学信息导报

针对目前我国糖尿病管理存在的未诊断率高、疾病年轻化趋势增加、基层卫生服务体系能力欠佳、指南临床实践不规范以及患者自我管理知识水平较低等主要问题,CDS主要从以下几个方面开展工作。

2017年JAMA最新数据显示,我国成人糖尿病的患病率为10.4%,糖尿病前期数据为16.6%。这意味着中国有近1.18亿例糖尿病患者,占国际糖尿病联盟(IDF)提供的全球4.25亿例糖尿病患者的27.8%,有1.88亿名的糖尿病潜在人群。糖尿病未诊断率为63.3%,即10个患者中有6人尚不知道自己患有糖尿病。40岁以下患病率为5.9%,糖尿病呈年轻化发展趋势。因此,糖尿病已成为我国严重的社会问题,面临严峻的防治形势。

作为中华医学会糖尿病学分会(CDS)主任委员,笔者也深感肩上责任的重大与艰巨。在党的十九大上,高度强调了“坚持以人民为中心”,把人民对美好生活的向往作为奋斗目标及新任务。为了响应党中央的号召,为健康中国2030事业添砖加瓦,CDS始终以助力我国糖尿病防治事业建设为己任,以“扎根基层、夯实基础”为工作重点及方向,把提供全方位、全周期的糖尿病防治服务作为CDS新时代奋斗的新目标及任务。

针对目前我国糖尿病管理存在的未诊断率高、疾病年轻化趋势增加、基层卫生服务体系能力欠佳、指南临床实践不规范以及患者自我管理知识水平较低等主要问题,CDS主要从以下几个方面开展工作。

落实党建强会战略  强化梯队人才建设

在中华医学会众多专科分会中,CDS率先提出成立党的工作小组的请示,并于2017年8月获中华医学会理事会党委批复成立,在分会建设中发挥政治核心、思想引领和组织保障作用,以党建促进科研道德和行风建设,发扬红旗渠伟大精神、促进医学会改革发展。

CDS非常重视组织梯队人才建设及青年骨干培养工作,为推进我国糖尿病防治事业夯实人才基础。目前,分会共有9个专业学组以及10个筹备专业学组,积极通过年会活动及工作会议等形式来推动各项工作开展。在青年人才培养方面,CDS积极推进“中国糖尿病临床卓越项目-CIDEA”的开展,由全国16位专家带组推进5大学术专题组和内分泌亚专科建设,在全国218个城市为近250名中青年医师开展培训,加强能力建设和提升。此外,CDS组织了第8届中青年糖尿病医师论坛以及第4届青年医师“未来之星”英文大赛,并最终推选8名优秀参赛者作为中国糖尿病领域杰出代表参加2017年的国际糖尿病联盟大会。

加强顶层规范设计  推进医防融合建设

基层糖尿病防治及临床诊疗实践的规范化离不开顶层临床诊疗规范设计。2017年,CDS开展了《2017版中国2型糖尿病指南》修订工作,以“中国指南、中国证据、中国实践”为核心思想,尽可能采用国内最新研究资料,并与心血管专科、营养学等专家团队合作,完善新版指南修订,为我国糖尿病临床诊疗规范实践提供指导。CDS还推出了《中国持续葡萄糖监测临床应用指南(2017年版)》《中国胰岛素泵治疗护理管理规范》《中国2型糖尿病自我管理处方专家共识》以及《中国2型糖尿病代谢手术术后管理专家共识》,丰富临床诊疗规范实践指导资料。

医防融合体系建设是深化糖尿病防治工作的基础和关键,这在2017年的CDS年会精神“协同创新、融合发展”中得到了体现。本次年会汇集了国内外相关学科专家研讨糖尿病解决方案,分享国际前沿新成果;本次年会首次与中国疾病预防与控制中心开设了联合论坛,参会人员也史无前例地达到了近万人。除年会外,CDS与国家卫生计生委疾控局、中国疾病预防与控制中心共同主办了第二届全国糖尿病防治大会,共商糖尿病协同防治及全程管理。

拓展国际交流途径  联合推动创新研究

为响应党和国家“一带一路”倡议,积极促进“一带一路”国家和地区在医学科研、疾病防治和健康促进等方面的交流与合作,CDS于2017年首次举办了“一带一路国际糖尿病论坛”,共邀请了7个国家和8个地区的专家代表参加并分享各国、各地区糖尿病防治经验,并在共同预防、研究、糖尿病治疗及人才培养方面达成共识,共同发表了“重庆宣言”,以期通过合作将更多的成果惠及“一带一路”国家和地区的广大糖尿病患者和民众。

在国际研究工作交流拓展和增强国际影响力方面,CDS于2016年参与《国际糖尿病组织关于代谢手术治疗2型糖尿病的共识》的制定,2017年《美国糖尿病学会(ADA)糖尿病管理指南》引用了中国研究结果,CDS还参加持续葡萄糖检测动态血糖监测(CGM)国际专家共识制定并发表于DiabetesCare。在2017年的ADA中美糖尿病学会交流会上,CDS获得了举办2018年ADA大会中国专场的资格,而《中华糖尿病杂志》成为首个在国际亮相的中文糖尿病期刊。在2017年阿布扎比IDF大会上,CDS成功申请到在中国上海申办2020年国际糖尿病联盟-西太平洋地区大会的资格。

2017年可谓是CDS收获满满的一年,在各位同仁的努力下,CDS荣获“全国科协系统先进集体”荣誉称号。在由人民日报社、人民网等联合主办的“国之名医”评选中,潘长玉教授荣获“国之名医-特别致敬”奖,纪立农、杨文英、翁建平和贾伟平荣获“国之名医-卓越建树”奖,此外,还有五位CDS常委及两位青委分别荣获“国之名医-优秀风范”及“国之名医-青年新锐”奖。此外,笔者也有幸荣获了亚洲糖尿病研究学会颁发的“潘孝仁亚洲糖尿病流行病学杰出研究奖”。然而,CDS始终不忘初心,始终牢记“通过教育、研究和医疗来预防、治疗和根除糖尿病”的使命,砥砺前行。

作者简介:



贾伟平(中华医学会糖尿病学分会主任委员、上海市第六人民医院内分泌代谢科)

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    2018-01-19 虈亣靌

    学习了.谢谢.

    0

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    2018-01-16 明月清辉

    谢谢分享.学习了

    0

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    2018-01-16 Y—xianghai

    学习了新知识

    0

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    2018-01-16 龙胆草

    学习谢谢分享

    0

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    2018-01-16 榄枷檬

    谢谢分享

    0

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    2018-01-16 wqkm

    ^_^^_^^_^

    0

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    2018-01-16 yjs木玉

    好好好好好好好好

    0

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    2018-01-16 三生有幸9135

    学习一下谢谢分享

    0

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