Diabetes Centre, Countess of Chester NHS Foundation Trust, Chester, UK.
Diabet Med. 2011 Dec;28(12):1494-500. doi: 10.1111/j.1464-5491.2011.03410.x.
The increasing prevalence of diabetes, the drive to develop community services for diabetes and the Quality and Outcomes Framework for diabetes have led to improvements in the management of diabetes in primary care settings, with services traditionally provided only in specialist care now provided for many patients with diabetes by non-specialists. Consequently, there is a need to redefine roles, responsibilities and components of a specialist diabetes service to provide for the needs of patients in the National Health Service (NHS) today. The delivery of diabetes care is complex and touches on almost every aspect of the health service. It is the responsibility of those working within commissioning and specialist provider roles to work together with people with diabetes to develop, organize and deliver a full range of integrated diabetes care services. The local delivery model agreed within the local diabetes network, comprising specialist teams, primary care teams, commissioners and people with diabetes, should determine how the diabetes specialist services are organizsed. It should identify the roles and responsibilities of provider organizations to ensure that the right person provides the right care, at the right time, and in the right place. We summarize a report entitled 'Commissioning Diabetes Specialist Services for Adults with Diabetes', which has been produced, as a 'Task and Finish' group activity within Diabetes UK, to assist managers, commissioners and healthcare professionals to provide advice on the structure, roles and components of specialist diabetes services for adults.
糖尿病的发病率不断上升，发展社区糖尿病服务的动力以及糖尿病的质量和结果框架，导致初级保健环境中糖尿病管理得到改善，传统上仅在专科护理中提供的服务现在许多糖尿病患者由非专科医生提供。因此，需要重新定义专科糖尿病服务的角色、责任和组成部分，以满足国民保健制度（NHS）今天患者的需求。糖尿病护理的提供是复杂的，涉及医疗服务的几乎所有方面。负责委托和专科提供者角色的人有责任与糖尿病患者合作，开发、组织和提供全方位的综合糖尿病护理服务。由专科团队、基层医疗团队、委托人和糖尿病患者组成的当地糖尿病网络内商定的当地提供模式应确定如何组织糖尿病专科服务。它应确定提供者组织的角色和责任，以确保正确的人在正确的时间和地点提供正确的护理。我们总结了一份题为《为成年糖尿病患者委托糖尿病专科服务》的报告，该报告是英国糖尿病协会内的一个“任务完成”小组活动的成果，旨在为管理人员、委托人和医疗保健专业人员提供有关成人专科糖尿病服务的结构、角色和组成部分的建议。
