Hayes T M, Harries J
Br Med J (Clin Res Ed). 1984 Sep 22;289(6447):728-30. doi: 10.1136/bmj.289.6447.728.
Two hundred patients with type II diabetes were entered into a randomised controlled trial lasting five years to compare routine care of this condition by a hospital diabetic clinic with routine care in general practice. Fewer patients in the group being cared for by their general practitioner (general practice group) were regularly reviewed or had regular estimations of blood glucose concentration. More patients in the general practice group than in the hospital group were admitted to hospital for medical reasons during the study (25 (24%) compared with 17 (18%] and more patients in the general practice group died (18) than did in the hospital group (6). At the end of the study mean concentrations of haemoglobin A1 were higher in the general practice group (10.4%) than in the hospital group (9.5%). Routine care in general practice for patients with type II diabetes was less satisfactory than care by the hospital diabetic clinic.
200名II型糖尿病患者参与了一项为期五年的随机对照试验，以比较医院糖尿病诊所对该疾病的常规护理与全科医疗中的常规护理。由全科医生护理的患者组（全科医疗组）中，接受定期复查或定期血糖浓度检测的患者较少。在研究期间，全科医疗组因医疗原因入院的患者比医院组多（分别为25例（24%）和17例（18%）），且全科医疗组死亡的患者比医院组多（分别为18例和6例）。研究结束时，全科医疗组的糖化血红蛋白平均浓度（10.4%）高于医院组（9.5%）。全科医疗中对II型糖尿病患者的常规护理不如医院糖尿病诊所的护理令人满意。
