The impact of the hospital-community integrated health management model on the knowledge-attitude/belief-practice and glycemic control rate in diabetic patients
Objective To analyze the intervention outcomes of the integrated health management model between an A-grade tertiary hospital and community health service centers(hospital-community integrated health management model)in Zhuhai City on diabetic patients,with the aim of providing evidence for improving the rate of meeting targets for glycemic control among diabetic patients.Methods In January 2023,316 diabetic patients followed up by two community health service centers in Zhuhai City were enrolled as study subjects for the hospital-community integrated health management intervention.The moni-toring data on their knowledge-attitude/belief-practice(KAP)scores and blood sugar testing related to diabetes health manage-ment before and one year after the intervention were collected for descriptive statistical analysis.Results A total of 288 diabetic patients participated the whole study,and their complete information were collected.After the intervention,the median(in-terquartile)[M(P25,P75)]of the KAP score(out of 100)was 78.00(72.00,82.00),which was higher than that before the interven-tion score of 72.00(66.00,77.00)(Z=-9.365,P＜0.05);the rate of meeting targets for glycemic control after the intervention was 88.9％(256/288),higher than that before the intervention,which was 71.5％(206/288)(x2=28.115,P＜0.05).Conclusions The hospital-community integrated health management model can improve the level of KAP and the rate of meeting targets for glycemic control among diabetic patients.
Diabetes mellitusHospital-community health management modelKnowledge-attitude/belief-practiceBlood glu-coseGlycated hemoglobinRate of meeting targets for glycemic control
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