[의학신문·일간보사=이상만 기자] In the evaluation conducted by the Health Insurance Review and Assessment Service ‘nursing institution‘In the case of diabetics who received treatment at designated clinics, the risk of diabetic complications was found to be mostly reduced, and active use is recommended..
Professor Kim Dae-jung’s team from the Department of Endocrinology and Metabolism at Ajou University Hospital(Ha Kyung-hwa, research professor)this 2012(2)car) Among those subject to diabetes suitability evaluation 39only 9,984command 2021year 5until approx. 7.6We followed them for a year to determine whether they developed diabetes complications or died..
As a result △ Quarterly outpatient visits △ prescription persistence △ Perform glycated hemoglobin and lipid tests △ Diabetics who successfully achieve indicators such as performing fundus examination are compared to those who do not., Proliferative diabetic retinopathy·end stage renal failure·lower limb amputation·myocardial infarction·stroke·It was confirmed that the overall risk of death was significantly reduced..
Additionally, the research team concluded that the more these evaluation indicators are achieved, that is,, The better you manage your diabetes in various aspects, the better. ‘Diabetes complications occur‘ ‘risk of death‘It was said that this has decreased further.. In particular, among many indicators ‘Prescription(dosage) continue‘It was confirmed that this is an important indicator.
especially ‘nursing institution‘In the case of diabetic patients treated at a clinic rated as, Risk of proliferative diabetic retinopathy, which can lead to blindness 18% Including the decrease, risk of end-stage renal failure 23%, Risk of lower limb amputation 25%, Myocardial infarction risk 15%, stroke risk 14%, overall risk of death 4% It was found that the risk of major diabetes complications such as.
The Ministry of Health and Welfare and the Health Insurance Review and Assessment Service aim to improve the quality of care for diabetes patients and reduce the risk of complications. 2011Diabetes suitability evaluations have been conducted for all neighborhood clinics since 2018..
The evaluation indicator is △ Regular outpatient treatment △ Continuity of drug prescriptions △ Regular glycated hemoglobin and lipid tests △ This item checks whether diabetes is being effectively managed through regular fundus examinations, etc..
In recent indicators, ‘Diabetic nephropathy screening test‘has been added, Nursing care institutions are disclosed through the Health Insurance Review and Assessment Service website..
Professor Daejung Kim “The risk of complications must be prevented in advance., for teeth OneThe role of regular screening and management of diabetes patients at primary medical institutions is important.. Uninterrupted treatment and prescriptions are very important., blood sugar·Blood pressure·Regularly evaluate lipids, etc., height·You should undergo regular checkups to prevent and detect eye complications early.”He said.
also “In fact, through this study OneIt was confirmed that the better the diabetes adequacy evaluation indicators are implemented by primary medical institutions, the more people can prevent complications and deaths.. This confirms that the government’s continuous diabetes adequacy assessment is contributing to improving the quality of diabetes management and preventing complications.”added.
Meanwhile, this study 9Month international academic journal Diabetes Care (IF: 16.2)to ‘Long-term Effectiveness of the National Diabetes Quality Assessment Program in South Korea (Long-term effectiveness of diabetes adequacy assessment)It was published under the title.