Day J L, Spathis M
Diabet Med. 1988 May-Jun;5(4):372-80. doi: 10.1111/j.1464-5491.1988.tb01008.x.
Dissatisfaction with standards of diabetes care in general, and the traditional diabetic clinic in particular, is widespread. Problems include the large numbers of attenders, short consultation times (often with inexperienced medical staff), lack of continuity and prolonged waiting times. Standards of education and control fall woefully below those that are desired. In recent years several different strategies have been adopted to provide solutions, including general practitioner cooperative care schemes to reduce numbers and improve community care, the appointment of diabetes specialist nurses to take on the major educational role, and the commissioning of special education units designed to remove the educational element from the traditional clinic environment. Lately consideration has been given to the development of Diabetes Centres, to provide more comprehensive diabetes care, both educational and clinical. A workshop was held in January 1987 to analyse in greater detail the concept of Diabetes Centres and the consequences of their implementation.
总体而言，人们普遍对糖尿病护理标准不满，尤其是对传统糖尿病诊所不满。问题包括就诊人数众多、咨询时间短（通常由经验不足的医护人员提供服务）、缺乏连续性以及等待时间过长。教育和控制标准远远低于预期水平。近年来，人们采取了几种不同的策略来解决这些问题，包括通过全科医生合作护理计划来减少就诊人数并改善社区护理、任命糖尿病专科护士承担主要教育职责，以及设立专门的教育单位以将教育环节从传统诊所环境中分离出来。最近，人们开始考虑发展糖尿病中心，以提供更全面的糖尿病护理，包括教育和临床护理。1987年1月举办了一次研讨会，以更详细地分析糖尿病中心的概念及其实施的影响。
