Diabetes of our country treats the total cost of 22,300 million yuan
Cable of September 18 of www.people.com.cn Beijing (reporter Wang JunPing) In the past 30 years, the ill rate of diabetes of China has risen continuously. National resident's nutrition and health status investigation result revealed in 2002, diabetic more than 20 million in resident over our country 18, more than 20 millionth people empty stomach blood glucose is damaged. According to the investigations of 11 cities in the whole country of 2002, it is estimated that 2 type diabetes and total cost of complication of city of China were 22,300 million yuan, direct hospitalization cost is 18,800 million yuan. Meanwhile, are in lower level because of the knowing rate of diabetes of our country, rate of rate and control treated, 81% of the medical fee is used for treating complication, the economic cost is heavy.
Ministry of Public Health holds the special meeting in Beijing today, introduces the practical experience of the diabetic community - integrated management mode of the hospital. Since December 1, 2003, Ministry of Public Health, world diabetic foundation and promise and Noda (China) Limited company has jointly initiated and cooperated in implementing pharmacy " China's diabetic management project " . Project this 7 15 communities of city launch in the whole country, cover population more than 400,000 together over the past 5 years, manage more than 5,000 diabetics, and prove with a large number of practice data, the community - integrated management mode of the hospital is feasible, effective, and have prominent cost-effective.
Disease of Ministry of Public Health is prevented and cotrolled to the hole glossy ganoderma Deputy Bureau Director of the office right " China's diabetic management project " Speak highly of. She thinks this project has already become and changed Chinese diabetes and even preventing, control, the important exploration of management of chronic disease; The achievement made by it not merely promotes standardized management diabetes of community, also offered the valuable experience for prevention and control of other chronic disease.
As the cooperative partner of this project, diabetic foundation and promise and Noda (China) of the world Pharmacy limited company thinks unanimously this is fruitful exploration of China's diabetic management mode. The diabetic foundation's president AnilKapur in the world thinks, this project combines internationally advanced diabetic integrated control tactics and Chinese hospital, hygiene development and reality of the reform of service system of community, have created the best practice of China's diabetic management.
Set up a kind of diabetic management mode suitable for the actual conditions of our country by exploring, help the patient to prevent early, diagnose early, treat early, benefit early, thus block complication, reduce the financial burden of disease, it is the governments at all levels of our country and all the time diligent direction of medical circle. " China's diabetic management project " Verify with its practical experience, it is a diabetic management mode suitable for our country that the community - hospital integrates.
The intersection of project and achievement reveal pilot community manage patient 4 follow up a case by regular visits to getting up to standard about 90% every year, every complication measures the proportion relatively tallly when following up a case by regular visits to each time, the measurement rate such as systolic pressure and diastolic pressure is 95%, the checking rate that retinal pathological change, diabetic foot, diabetic neuropathy change is 53%- 56%; The number and prominent improvement of the above good control rate of every clinical index in the diabetic has been in management for 6 months, and lengthen and show a tendency to improve with time continuously during 2 years. Among them, blood glucose of the empty stomach, the control rate of the blood glucose rose by 9.1% and 19.6% respectively after being in management for full 6 months in 2 hours after the meal, hereafter steady in 60% and 76% control rate of the above. The control rate of systolic pressure has risen by 10.3%, the control rate of the diastolic pressure has risen by 7.1%, the result is very prominent too. Meanwhile, project this the intersection of improvement and pilot the intersection of community and diabetes of doctor treat competence by a wide margin still. The investigation result reveals, about 60% of the medical workers think one's own ability is improved greatly, connecting examining ability to satisfied with to community's doctor of the patients of 83%.
Chinese Medical Association's diabetic credit is known to General Board Professor Yang WenYing and thought, the community - integrated mode of the hospital has formed and regarded community - integrated service of the system of the hospital as the core, Ministry of Public Health, disease accuse of the operating mechanism in many department's cooperation such as the department, learning, the general hospital, community hygiene service organization. Especially the interdynamic between hospital and community, combine medical resources effectively, and change the place of examination bidirectionally through community - the hospital, do not have medical care sewn and melted to let the patient get. , this mode not merely promotes knowing rate of diabetes, diagnosing rate and up to standard to lead, also improved the patient's mode of seeking medical advice.
Institute Professor Hu ShanLian of the public health of Fudan University is in terms of economic cost, divide the diabetic treatment into " The cheap treatment " ,Namely measure in early days, treat in early days, prevent or delay complication and " expensive treatment " ,Namely treat complication. He points out, the community - integrated mode of the hospital has prominent cost-effective, this kind " spent the stiver, save a lot of money " Science treat to should popularize China.
Promise and Noda ( China) Pharmacy limited company Greater China district president Mr. Ke RuiLong says: "It is a long-drawn-out war to change diabetes, need to mobilize the whole social forces to participate in, construct intact prevention and cure system and effective operating mechanism together. On China's diabetic management project, we have seen foresight and confidence of Chinese Ministry of Public Health. Promise and Noda will do the best, will make a contribution to prevention and cure cause of Chinese diabetes. "
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