Schulze J, Kunath H, Rothe U, Müller G
Medizinische Klinik III, Universitätsklinikum Carl Gustav Carus der TU Dresden.
Z Arztl Fortbild Qualitatssich. 1998 Sep;92(7):503-7.
Patients with diabetes still have a life expectancy of 5-10 years less and a markedly reduced quality of life than non-diabetic persons. Concepts, models, and contracts aiming at an efficient co-operative care for chronically ill patients have been developed in the new German states to overcome shortage of care. The dual care of motivated diabetic patients by family physicians and experts for metabolic diseases has proven to be efficient both in pilot studies as well as in country-wide investigations. A representative commission for diabetes has developed guidelines for such a structure of dual care. Design and content of these regional developed guidelines about an cooperative evidence based care for diabetic patients fulfills the criteria suggested by international bodies of experts and the medical society for quality assurance. The Saxonian guidelines for diabetes have been successfully implemented step by step in medical offices and hospitals. We are sure that the further implementation of the shared care system diabetes will further improve quality of care.
糖尿病患者的预期寿命仍比非糖尿病患者少5至10年，生活质量也显著降低。为克服护理短缺问题，德国新州已制定了旨在为慢性病患者提供高效合作护理的理念、模式和合同。家庭医生和代谢疾病专家对积极主动的糖尿病患者进行双重护理，在试点研究和全国性调查中均已证明是有效的。一个糖尿病代表委员会已制定了这种双重护理结构的指南。这些关于糖尿病患者基于证据的合作护理的地区性指南的设计和内容符合国际专家机构和医学质量保证协会提出的标准。萨克森州的糖尿病指南已在医疗诊所和医院逐步成功实施。我们确信，糖尿病共享护理系统的进一步实施将进一步提高护理质量。
