Train in diabetic management: The community of Israel is the main battle field

Train in diabetic management: The community of Israel is the main battle field
Train in diabetic management: The community of Israel is the main battle field
Staff reporter Wang LingLing Will have credit more diabetic by Chinese Medical Association, health newspaper office jointly hold, Luo diagnoses the products ' Shanghai) Diabetes, doctor of community, that limited company support manage the training project to start recently. Event these aims at through the education of the system and practises the activity, is promoting community's doctor's cognition of diabetes constantly, improve community's doctor's ability to carry on monitoring and management of blood glucose; Popularize China 2 type diabetes and prevent and cure guide, IDF progressively nationwide ' International diabetic alliance) Blood glucose monitors the guide and diabetes of Harvard University and manages blood glucose and monitors course, train a thousand medical workers of community in 20 cities in 3 years. Come from the relevant departments or buearus of Ministry of Public Health, hygiene of Beijing community and serve the medical experts of diabetes of administrative center and every large hospital, attend to workers, have attended the launch meeting of the project, and stated one's views. Health president and concurrently editor-in-chief Wang Shuo of newspaper office of first line of defence building diabetes in the community and preventing and curing: Improve community's medical worker's cognition and management skill of diabetes, contribute to the first line of defence that builds diabetes in the community and prevents and cures. Launch community's doctor's diabetes and manage the training project and is based on 4 reasons. First, diabetes is a kind of chronic disease, need to control blood glucose to lower the risk taking place of diabetes complication well for a long time. So, blood glucose that the patient carries on at home is monitored oneself, adjust treating and realize the foundation of blood glucose up to standard. Second, the diabetic number of the infected is increased sharply. At present, nearly 285 million people suffer from diabetes in the whole world, the diabetic crowd of our country is increasing and causing the large hospital and can't bear the heavy load rapidly too. Mainstay that diabetes prevents and cures the community doctor, but in the present hygiene of community is served, diabetic to make a diagnosis and give treatment and is not enough for the norm. Community's medical worker needs urgently to accept relevantly that train. Third, have diabetes of Harvard University to manage blood glucose and monitor course and can be drawn lessons from. This prevents and cures the diabetic respect in the whole world and is in the monitoring method of leading position, through monitoring meal choosing and impact on blood glucose level of movement of grasping the patient, manage the patient effectively. Fourth, it is trained that we have more complete communities the network, have energetical support of the government, there is the expert's participation heartily. In the past several years, the health newspaper is regarded as the hygiene the most authoritative trade newspaper of the circle at home, have launched " Warm community's large healthy classroom activity " ,This project is classified as the Ministry of Public Health, Ministry of Science and Technology, the Chinese Technology Association " Hygiene science and technology enters the community " Project. More than 40 experts come into 28 cities with us, has trained more than 5000 community doctors face-to-face. It is believed that diabetes of this community can let community's medical workers derive much benefit to manage the training project too. Disease of Ministry of Public Health is prevented and cotrolled to Deputy Bureau Director of the office Kong LingZhi: Diabetes, doctor of community, have several keys to manage the training project. First key: This training project makes diabetic management a key point instead of being only limited to treating, worth praising. Because if just treat, it reflects doctor's one-sided enthusiasm, but manage and involve two respect enthusiasm of doctors and patients, the direct goal is community's doctor, improve and manage cognitive ability through community's doctor, manage patients well finally, manage the slow disease including diabetes well. Second key: The slow disease including diabetes, the characteristic is a lifetime disease, need managing all the life. Such lifetime management can not be placed on the large hospital, will be managed by community's doctor at ordinary times, accord with management mode and demand of diabetes very much. Always say generously that accords with strong basic unit of the medical reform, strong foundation, direction which builds the mechanism too. The third key, the sponsor Chinese Medical Association's diabetic credit knows and the health newspaper office, an authoritative academic organization add one more authoritative media, it is a very good combination according to different fields. It is successful key Vice chief of Ministry of Public Health popular science department Liu DengFeng of a project that science and technology support and talent support: The system reform of the medical and health is moving forward steadily at present, enter the sci-tech popularization of the hygiene in the medical health organ in the basic unit, quality and level of improving the health care service at the basic level are an extremely important job, it is science and technology support and talent of the health care with important system reform that support. The diabetes, doctor of community, that start it manages training projects to be to launch under great the intersection of environment and old background that advance the reform of health care system thoroughly, also the hygiene science and technology enters a new activity under community's project, not merely enter the strong push of community's project to hygiene science and technology, and significant to finishing the relevant task of the medical reform. For many years, the health authorities at all levels and the various circles of society have paid much attention to the support of the community of science and technology of the hygiene and has been applied. The union Ministry of Science and Technology of Ministry of Public Health, the Chinese Technology Association started hygiene science and technology to enter community's project in 2007, in 8 provinces such as Beijing, Hebei, Guangdong, Guangxi, Sichuan, Ningxia in the past few years ' District, city) ,It popularizes the activity to launch a large amount of fruitful suitable technology popularization, train and benefit common people's healthy knowledge, achieve the good social effect. The newspaper office of the health has started " warm the large healthy classroom of the community " as one of the organizors The activity, well received by locality, opened up community's large classroom special edition in the health is offered at the same time, transmit the health idea, introduce the newest scientific and technical result. One that is with system reform of the health care is deepened constantly, the hygiene enters community's project and puts forward the requirement that the next stage moves about on the basis of summarizing the first stage conscientiously, namely great disease, common disease, frequently-occurring disease of centring on system reform of the medical and health and the people and caring about closely launch popular science propagation and education and practical technique popularization activity, pioneer and invent hard in form, in order to meet the demand that the people are increasing constantly, offering the knowledge of health care science and technology to medical worker at the basic level constantly. Know General Board's discipline and set up the agricultural professor in Chinese Medical Association's diabetic credit: We Asia make a clinical experiment of dividing into groups at random by 10 counterpart of countries and regions hand in hand in the year before last, the purpose is canvassing for community's doctor to recommend the diabetic guide to manage the diabetic's influence on them. We divide community's doctor into two groups at random: First have a class, say first from the beginning to the end diabetic guide, refine the main point, discuss; Do not explain the guide, but observe the diabetic of their management too another group. Control the situation to find through blood glucose of diabetic of community's doctor's management after appraising for one year, the patients of the patient of management of community doctor who has studied guide and management of doctor not studying the guide are roughly the same at the control level of diabetes. This has put forward a key problem: The clinician only has improvement of knowledge but not implements knowledge in the action, can't improve level of control on disease. The main characteristic of this diabetic management project is a community Doctor and patient are interdynamic. Basically know the ones that not merely teach community's doctor diabetes? Man =Mi raises and sends Sao �� to discuss �� careful �� and pay � and give repeated exhortations �� be unloaded still to be cherished ���� Guan shelf speak �� search there aren't Zhyuan health rose sedan-chair's my darling � health thumb Xi �֧��� Zheng after bringing a case to court to �� Qiang whiz Suan 4 Chinese Medical Association's diabetic credit will be regarded as the academic organization of authority in the diabetic field of our country, the localization of relation with government is very clear: Give government as being easy to give advice at first, 2 provide service and technical support for government, the third is to do the practical thing for preventing and curing at diabetes in the government. In order to promote the community and diabetes of hospital at the basic level to manage better, after the branch upgrades " China's diabetic guide " this year, also work out the diabetic guides of the community and edition at the basic level. Society hospital that main committee member locate begin the intersection of diabetes and standard treatment with to study management mode already now. Prove in the large hospital through these modes, find out some simple but effectual diabetes complication sifts checking, diabetes diagnosing in early days and therapeutic scheme of diabetic standardization, radiate to the community and hospital at the basic level through the large hospital. It is community's diabetic management important means PLA general hospital endocrine head of the department Professor Lu JuMing that blood glucose is monitored: The management of the community diabetic is very important. Diabetes controls and depends on blood glucose, it is a key that blood glucose is monitored. The closest that the two get in touch that hyperglycemia and blood glucose after the meal after the meal of 2 type diabetes patient fluctuate, hyperglycemia will increase the disease risk of cardiovascular vessel after the meal. Study to find, blood glucose increases and relates to death of the cardiovascular disease patient after the meal in European epidemiology. Self- blood glucose can help patients to find out about one's own condition to monitor, change the patient's behavioral habit, also contribute to forming patient's healthy behavior pattern, can adjust and optimize the patient's treatment through monitoring. In addition, the communication of community's doctor and patient can be monitored, realized through blood glucose: The patient takes blood glucose and monitors the result to come to doctor's place, the doctor guides for him. The intersection of Peking University and first dawn the intersection of Hui and Professor Guo, division of endocrinology of hospital: At present, doctor adopting to patient's self- blood glucose monitoring data is not enough. Because the value that oneself's blood glucose monitors is not paid attention to, be unable to apply to while treating, the enthusiasm that patient's self- blood glucose monitors is not high. How to solve this problem? The result pattern analysis that structural self- monitoring and self- blood glucose monitored has offered the practical method for diabetic management. Under correct time, correct frequency, correct environment, carry on the monitoring of the particular type, structural monitoring. Only patient and clinician reach common understanding, could carry on next pattern analysis. Pattern analysis is a systemic method, can find most questions and reduce and slip and misdiagnose. Know blood glucose of the structural formula is monitored, the doctor should participate in training at first, later should recommend the patient to add into this project, the number value monitored oneself with patient's blood glucose discusses together with the patient, make the goal again, instruct the patient how to use blood glucose to manage tools. The patient discusses again with the doctor, canvass and treat the goal together after managing tools, confirm the next action, make the doctor who participates in training improve and treat quality constantly in practice. Some views hit the service Zhang XiangDong, Deputy Director of administrative center of the hygiene of community of Beijing: Through nearly 4 years standardized construction, Beijing the intersection of community and the intersection of hygiene and the intersection of door and the intersection of emergency call and quantity get at present nearly 30 million person from 7 million more than person for 2006 at present, accounts for 1/4 of an emergency call quantity in the whole city, continue increasing this year, the improvement by a wide margin of the offering amount of the public health. This project will start and manage slow disease management and play a very good role to diabetes of community. PLA man 306 hospitals of divisions of endocrinology make the honour professor of camphor tree: It is very important to train community's doctor's diabetic management. I have participated in the medical dispute is appraised, a boy 21 years old, suffer from pneumonia to community's hospital to go to a doctor, lasting high fever retreat, turn into another large hospital, enter 7 o'clock, treat with antibiotic, the inspection result came out at over 11 o'clock, blood glucose is up to more than 20 . As a result, the patient breathes and stops the death suddenly at 12 o'clock. If community's doctor realizes this patient is probably a question of blood glucose, so long as would not cause such a serious consequence after checking blood glucose. Head nurse of Chinese-Japan Friendship Hospital division of endocrinology Zhao Fang: There are two patients in our department, a man 37 years old, suffer from diabetes for 6 years, does not have any monitoring, has already presented diabetic gangrene while going to a doctor, his life quality later on is very poor. If he can examine blood glucose in the community at random, points out him and seeks medical advice in time, would not delay this kind of intensity. Another patient suffered from 1 type diabetes in childhood. Earlier on, this patient ate and drank immoderately suddenly, seriously ill in the end to live in my department. Strengthen blood glucose to monitor with management on the issue to can find the above-mentioned patient in time. First head nurse of hospital division of endocrinology Shenyang plow of Peking University: This project monitors blood glucose as what the community trained to cut the project and putting in place very much. Have cooperated with popularization of idea such as corresponding diet, movement management among them. A lot of doctors know the knowledge in this respect too, does not just know how to use, need more training and practise. The ones that participate in the doctors of this community diabetes and manage the training project and will start include the following leaders and experts: Qian's investigator of the silk of king of Department of Science and Technology Education of Ministry of Public Health, general hospital Professor Lu XiaoFeng of Military Area Command in Beijing, BJ Union Hospital Professor Xiao XinHua, subsidiary Beijing Xuanwu Hospital Professor Wang Li of Capital University of Medical Sciences, subsidiary Beijing Tongren Hospital Professor Yang JinKui of Capital University of Medical Sciences, subsidiary Beijing professor, hospital Professor Chen LiMing of metabolic disease of medical university in Tianjin of big brilliance of the rising sun of Friendship Hospital of Capital University of Medical Sciences,etc..


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