纪教授：2015 ada糖尿病指南及其对中国临床实践的价值.pptVIP

Trends from 2005 to 2014 in annual proportion of recommendations based on higher-level evidence, stratified into four mutually exclusive categories: glycemic management and related issues (e.g., diabetes screening and diagnosis, microvascular complications); cardiovascular-related care (CVD) (e.g., blood pressure and lipid assessment and management); general recommendations related to lifestyle, nutrition, and self-management; and pediatric- or obstetric-related diabetes care. * Reference American Diabetes Association. Standards of medical care in diabetes—2014. Diabetes Care 2014;37(suppl 1):S15; Table 1 Section 1. Strategies for Improving Diabetes Care includes six slides: Recommendations: Strategies for Improving Diabetes Care (two slides) Diabetes Care Concepts Objective 1: Optimize Provider and Team Behavior Objective 2: Support Patient Behavior Change Objective 3: Change the System of Care * Recommendations: Strategies for Improving Care1 are summarized on two slides Slide 1 of 2 The Chronic Care Model (CCM) has been shown to be an effective framework for improving the quality of diabetes care2 The CCM includes six core elements for the provision of optimal care of patients with chronic disease 1) delivery system design (moving from a reactive to a proactive care delivery system where planned visits are coordinated through a team based approach) 2) self-management support 3) decision support (basing care on evidence-based, effective care guidelines) 4) clinical information systems (using registries that can provide patient-specific and population-based support to the care team) 5) community resources and policies (identifying or developing resources to support healthy lifestyles) 6) health systems (to create a quality-oriented culture) Redefinition of the roles of the clinic staff and promoting self-management on the part of the patient are fundamental to the successful implementation of the CCM3 * References American Diabetes Association. Standards of