ORGANISING CARE FOR PEOPLE WITH DIABETES AND RENAL DISEASE
ORGANISING CARE FOR PEOPLE WITH DIABETES AND RENAL DISEASE
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DOI：
10.1111/j.1755-6686.2012.00272.x
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发表时间：
2012-02-01
影响因子：
1.9
通讯作者：
Dean, John
中科院分区：
文献类型：
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作者：
Dean, John
糖尿病和慢性肾脏疾病(CKD)是两种最常见的长期疾病。五分之一的糖尿病患者将患有慢性肾脏病，糖尿病是晚期肾脏疾病最常见的原因。对于大多数患者来说，这些合并症将在初级保健中进行管理，重点是心血管预防。许多患有更严重疾病和并发症的患者需要糖尿病和肾脏疾病多学科专家团队的联合护理，以确保护理的一致性和协调性。联合专科护理的模式包括联合登记管理、平行诊所、共享咨询和病例讨论，但需要进行比目前更多的评估。这些为专家团队之间更多的非正式互动奠定了基础。应商定糖尿病和肾脏疾病的当地护理模式，其中包括初级保健、多学科小组成员和专科护理的作用，并为其提供适当的资源，并监测其有效性。
Diabetes and chronic kidney disease (CKD) are two of the commonest long-term conditions. One-fifth of patients with diabetes will have CKD, and diabetes is the commonest cause of advanced kidney disease. For most patients these comorbidities will be managed in primary care with the focus on cardiovascular prevention. Many patients with more advanced disease and complications require joint care from multidisciplinary specialist teams in diabetes and renal disease to ensure that care is consistent and coordinated. Models of joint speciality care, include joint registry management, parallel clinics, shared consulting and case discussion, but require more evaluation than has currently been performed. These underpin more informal interactions between the specialist teams. A local model of care for diabetes and renal disease that incorporates the roles of primary care, members of multidisciplinary teams and speciality care should be agreed, resourced appropriately and its effectiveness monitored.