2型糖尿病的多学科管理:综合护理模式

IF 0.4 Q4 HEALTH CARE SCIENCES & SERVICES
C. Berra, L. Pradelli
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引用次数: 0

摘要

在过去的20年里,意大利的糖尿病患病率一直在增长,目前估计的比例约为8.5%,其中也包括未确诊的患者。由于这些受试者大多数年龄>65岁,因此出现合并症的可能性很高。此外,糖尿病本身使患者面临各种各样的并发症,这些并发症涵盖了几个治疗领域。这就是为什么糖尿病的最佳管理必须涉及一个多学科的团队。可以设置几种慢性病综合护理模式:例如,分配给全科医生和专科医生的角色可能因模式而异。事实上,全科医生和专科医生之间的不平衡被认为是2018年在伦巴第(意大利北部地区)启动的Progetto cronicit(慢性病项目)患者参与度低的主要原因。作者的经验有助于理解如何建立适当的糖尿病综合护理模式,他们详细描述了他们在IRCCS MultiMedica (Sesto San Giovanni, MI, Italy)的经验。本增刊最后回顾了文献中发现的关于糖尿病多学科管理在结果、成本和患者满意度方面的优势的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The Multidisciplinary Management of Type 2 Diabetes: an Integrated Care Model]
Over the past 20 years, the prevalence of diabetes in Italy has been growing, up to the current estimated proportion of about 8.5%, which accounts also for undiagnosed patients. As most of these subjects are >65 years of age, the probability of having comorbidities is high. In addition, diabetes itself exposes patients to a wide spectrum of complications, that cover several therapeutic areas. This is why the optimal management of diabetes necessarily involves a multidisciplinary team.Several models of integrated care of chronic diseases may be set: for instance, the role assigned to GPs and specialists may differ among models. Indeed, a disequilibrium between GPs and specialists is deemed to be the main cause of the low patients’ participation in Progetto Cronicità (chronic diseases project), which started in Lombardia (a Northern region in Italy) in 2018.A help to understand how to build a proper integrated care model in diabetes comes from the experience of the Authors, that describe in detail their experience in IRCCS MultiMedica (Sesto San Giovanni, MI, Italy).This Supplement ends with a review of the evidence found in literature about the advantages of a multidisciplinary management of diabetes in terms of outcomes, costs, and patients’ satisfaction.
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