Research On The Current Situation,Problems And Countermeasures Of The Diabetes Management In Suzhou K-Medical Treatment Combination

The number of diabetic patients in China has leapt to the first place in the world,diabetes as a chronic multiple disease has become a key public health issue of global concern,with the emergence and development of regional medical alliances,medical alliances are becoming a new role in providing diabetes management.The medical alliance has the advantages of maintaining the continuity,integrity,refinement,smooth two-way referral channels,and improving the utilization of health resources,and realizes remote integrated collaborative management of diabetes with the help of the Internet and other technologies,which is essential to meet the individual needs of diabetic patients,improve their sense of service access and improve the quality of life.As a pilot city combining medical alliance and chronic disease management,Suzhou launched the implementation of the "531" action doubling plan for healthy citizens in Suzhou in 2018,and its road to diabetes management reform is representative and exemplary in the country.On this basis,this study first sorts out the construction,management system structure,policy supply and other data of the medical consortium under the K medical consortium model in Suzhou,and then selects the K community health service center in Suzhou,combines interviews and questionnaire surveys to carry out field research on relevant medical institutions and personnel,and summarizes the main problems as follows:the collaboration of the medical consortium is loose and the coordinated development of cross-departments is hindered;There is a shortage of human resources at the grassroots level,and it is difficult to meet diversified needs;The external incentive mechanism is missing,and the implementation motivation is relatively weak;Patients lack self-involvement and continuous management is ineffective.The reasons for this are:the benefit distribution mechanism is unreasonable and lacks institutional guarantees;weak grassroots service capacity and inefficient allocation of health resources;The connection of supporting policies is not in place,and the governance system has not been perfected;Health education publicity is small,and the supervision and assessment mechanism is not perfect.Therefore,based on public goods theory,system theory and collaborative theory,and after comparing and analyzing the development experience of diabetes management at home and abroad,this paper believes that we should take citizens’ health as the fundamental pursuit and chronic disease prevention and treatment as the problem-oriented,and form a hierarchical prevention and treatment system of "government responsibility leadership-community screening and prevention-hospital resource integration-multi-center collaborative treatment",so as to provide residents with an integrated,continuous and full-cycle health management comprehensive service model.And put forward the relevant thinking and optimization strategies to improve the diabetes theory under the Suzhou Medical Alliance:clarify the division of interests and responsibilities,and smooth the linkage channel between the upper and lower levels;Improve the level of community health services and build a three-dimensional and diversified diagnosis and treatment pattern;Update the service value concept and explore the integration of medical insurance;Pay attention to patient health empowerment education,and improve supervision and feedback mechanisms.