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Evaluation of the implementation and effect of the healthcare cloud information platform for diabetes self-management: A case study in Shanghai.

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机构: [1]Heart Failure Department of Shanghai East Hospital Affiliated to Tongji University, Shanghai, China [2]School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China [3]General Practice Center, Nanhai Hospital, Southern Medical University, Guangdong, China [4]Business Division Department of Wonders Information Co., Ltd., Shanghai, China [5]Weifang Community Health Service Center, Shanghai, China [6]Pudong Institute for Health Development, Pudong Health Information Center, Shanghai, China [7]Pudong Institute for Health Development, Shanghai, China [8]School of Public Health, Shanghai University of Traditional Chinese Medicine, Shanghai, China [9]School of Medicine, Tongji University, Shanghai, China
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关键词: China developing countries diabetes healthcare cloud information platform self-management

摘要:
With the high prevalence of diabetes, its long-term treatment, and many complications, there is a need for a new diabetes self-management model in developing countries. Therefore, this study aimed to assess the implementation and effect of a new diabetes self-management model, known as the healthcare cloud information platform, in Shanghai, China. The implementation of the new model was evaluated in terms of the equipment coverage in community health service centres and the services provided. The effect was assessed according to the treatment rate and control rate from 2012 to 2017. Their correlations with the self-management rate were analysed using Spearman's test. It was found that the Shanghai healthcare cloud information platform had covered a total of 237 community health service centres in all of the 16 administrative districts, equipping them with 2489 health stations, by 2017. An average of 8966 people uploaded data to the healthcare cloud information platform every day, with the accumulated service up to 12 043 508 person-times and an average daily increase of 13 227.9. The treatment rate of diabetes patients in Shanghai increased from 42.9% in 2012 to 78.0% in 2017, and the control rate increased to 72% in 2017, compared with 63% in 2012. Furthermore, there was a significant correlation between the treatment rate, control rate, and self-management rate. The findings indicate that it is feasible to implement the new healthcare cloud information platform for diabetes self-management and that it is effective. © 2019 John Wiley & Sons, Ltd.

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大类 | 4 区 医学
小类 | 4 区 卫生政策与服务 4 区 公共卫生、环境卫生与职业卫生
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第一作者机构: [4]Business Division Department of Wonders Information Co., Ltd., Shanghai, China
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通讯机构: [2]School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China [3]General Practice Center, Nanhai Hospital, Southern Medical University, Guangdong, China [5]Weifang Community Health Service Center, Shanghai, China [*1]School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China [*2]Weifang Community Health Service Center, Pudong District, Shanghai, 200122,China
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