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Preventive Medicine 2018
Journal of Preventive Medicine
ISSN: 2572-5483
Page 52
July 16-17, 2018
London, UK
9
th
Edition of International Conference on
Preventive Medicine
& Public Health
Background:
China is setting up a hierarchical medical system to
solve the problems of biased resource allocation and high patient
flows to large hospitals. However, it is in its early phase, and the
overall effect is dissatisfied.
Objective:
This study aimed to implement the hierarchical medical
system of hypertension and diabetes in Futian, China, and evaluate
the effect.
Methods:
To establish the hierarchical medical system of
hypertension and diabetes by series of measures: building
regional medical association, promulgating hierarchical medical
programme, taking the Futian hospital for prevention and treatment
of chronic disease as the bridge, setting up a discipline alliance,
enhancing the ability of health care, modifying two-way referral
service process, information construction, and evaluated the
overall effect of the hierarchical medical system.
Results:
Hierarchical medical systemof hypertension and diabetes
in Futian has been established successfully since June 2016.
The evaluation shown that the hierarchical medical system was
running well, the priority registration, priority admission, priority
examination, priority hospitalization service for the patients were
implemented, and collaboration between general practitioners
and specialists were significantly improved. The number of
patients with hypertension and diabetes attending community
health center increased by 18.2% and 26.9% compared with
the same period before implementation of hierarchical medical
system. The increment speed of standardized management for
hypertension and diabetes patients were more than 3 times and
2.18 times compared with the same period before implementation
of hierarchical medical system. There was 3057 patients’ referral
to the community health center from hospital, while there was no
patients’ referral to the community health center before June 2016.
Conclusion:
The hierarchical medical system of hypertension and
diabetes in Futian, China is satisfactory, which is a first and high
quality model of hierarchical medical system in Shenzhen, and is
worth extending to other place in China.
Biography
Dr. Wenru Chen is the director and doctor of Futian hospital for prevention
and treatment of chronic disease, Shenzhen, China. His research interests
now are related to the chronic diseases management and health policy. He
has engaged in several research projects and published more than 20 papers
on lifestyle behavior change, chronic diseases management and hierarchical
medical system.
Dr. Hongwei Dong has been Graduated from China medical university and
received the Ph.D degree of surgery. He had worked as surgeon at affiliated
Hospital of China Medical University for many years, as vice president of
the hospital at Shenyang, China, and joined Shenyang First Aid Center as
the director. He is currently director of Health and family planning bureau of
Futian, Shenzhen, China.
henry667788@163.comImplementation and evaluation on hierarchical medical system
of hypertension and diabetes in Futian, China
Wenru Chen
1
, Zhiheng Zhou
1
, Xuejiao Zhang
1
, Jinxia Wu
1
, Ya Zhou
1
and
Hongwei
Dong
2
1
Futian hospital for prevention and treatment of chronic disease, Shenzhen, China
2
Health and family planning bureau of Futian, Shenzhen, China
Wenru Chen et al., J Prev Med 2018, Volume 3
DOI: 10.21767/2572-5483-C1-003