2型糖尿病分级诊疗与质量管理专家共识

2020-05-19 中国研究型医院学会中国医学前沿杂志（电子版）.2020,12(5):38-53

分级诊疗制度被认为是破解我国“看病难、看病贵”问题的治本之策，是全面深化医药卫生体制改革的关键举措，基层医疗机构是实施分级诊疗制度的重要阵地。2型糖尿病是最常见的慢性病之一，其

中文标题：

2型糖尿病分级诊疗与质量管理专家共识

发布机构：

中国研究型医院学会

发布日期：

2020-05-19

简要介绍：

分级诊疗制度被认为是破解我国“看病难、看病贵”问题的治本之策，是全面深化医药卫生体制改革的关键举措，基层医疗机构是实施分级诊疗制度的重要阵地。2型糖尿病是最常见的慢性病之一，其主要危害是微血管和大血管并发症。心血管疾病已成为导致糖尿病患者死亡/致残的主要原因。我国基层医疗机构仍存在医疗技术力量和优质资源不足、综合管理意识与能力相对较低、上下级医疗机构职责不清、双向转诊机制不完善等问题。为适应糖尿病患病率迅猛增长的医疗需求，全面提升基层全科医生“医防融合、全程同质”管理糖尿病的能力，有效开展糖尿病及其并发症的筛查与诊断、患者健康教育和分层管理工作，基层全科医生糖尿病管理能力培训、考核定级与分级授权等工作亟待规范与加强。为此，中国研究型医院学会糖尿病学专业委员会分级诊疗与基层管理糖尿病学组以患者为中心，结合糖尿病管理的最新权威指南和基层诊疗实践，制定了《2型糖尿病分级诊疗与质量管理专家共识》（以下简称共识）。共识力求突出科学性、实用性和可及性，将科学证据与基层实践相结合，以规范基层诊疗行为，提高基层诊疗能力，使基层全科医生真正做好居民健康的“守门人”。

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