Yudkin J S, Boucher B J, Schopflin K E, Harris B T, Claff H R, Whyte N J, Taylor B, Mellins D H, Wootliff A B, Safir J G, Jones E J
J Epidemiol Community Health. 1980 Dec;34(4):277-80. doi: 10.1136/jech.34.4.277.
In order to assess the quality of care in a community-wide sample of diabetic patients, a study was performed on 217 such patients identified in three group practices in an east London health district. Only 46% of the patients were currently attending a hospital. In the two years before review, 64% of patients had had their blood pressure recorded and 59% had had retinal examinations. Levels of glycosylated haemoglobin were significantly higher in patients on insulin than in those on oral regimes (P = 0.0004). The mean level of glycosylated haemoglobin was higher in patients from Social Classes III, IV, and V than in patients from Social Classes I and II (P = 0.005), but there was no difference in level between those patients attending hospital and those attending their general practitioners after accounting for differences in these two populations (P = 0.19). Over 50% of all diabetic patients in this study had levels of glycosylated haemoglobin which may indicate vulnerability to microvascular disease.
为了评估社区范围内糖尿病患者的护理质量，对伦敦东部一个健康区三家团体诊所中确定的217名此类患者进行了一项研究。目前只有46%的患者正在就医。在接受检查前的两年里，64%的患者测量过血压，59%的患者接受过视网膜检查。使用胰岛素的患者糖化血红蛋白水平显著高于使用口服药物的患者（P = 0.0004）。社会阶层为III、IV和V的患者糖化血红蛋白平均水平高于社会阶层为I和II的患者（P = 0.005），但在考虑这两类人群的差异后，就医患者与看全科医生的患者之间的糖化血红蛋白水平没有差异（P = 0.19）。本研究中超过50%的糖尿病患者糖化血红蛋白水平可能表明易患微血管疾病。
