Transforming Diabetes Prevention and Treatment in China: The Shanghai Integration Model
On March 24, 2016, the Shanghai Eighth People’s Hospital hosted a Chinese nationwide continuing education conference focused around two topics: Shanghai Diabetes Prevention and Treatment Service System – Regional Hospital Cooperation Projects and Shanghai Integration Model of Diabetes Management. This meeting will play a formative role in the development of a regional diabetes prevention and treatment service system in Shanghai’s Xuhui district, and the implementation of a diabetes management project in the area to improve the health outcomes of community residents and urban public health security.
The Shanghai Metabolic Diseases/Diabetes Prevention and Treatment Service System development project was initiated by Weiping Jia, president of Shanghai Sixth People’s Hospital. Project participants include the disease control department of Shanghai’s Health and Family Planning Commission, Shanghai’s Center for Disease Control and Prevention, Shanghai’s Eye Disease Prevention Center, and Shanghai’s Clinical Laboratory Center.
Currently in the fourth round of a 3-year Shanghai public health action program (2015-2017), the project is on course this year to screen people at high risk of developing diabetes and diabetic patients with chronic complications in all 16 districts of Shanghai. Additionally, self-management and peer support will be promoted in pilot communities for diabetic patients.
Through this project, prevention and treatment resources in Shanghai will be fully integrated into a structured, interactive collaboration within an ecosystem of diabetes prevention and treatment organizations. The overarching goal is to fully integrate health resources and improve disease prevention and control among medical institutions to provide wrap around quality care to urban and rural residents in Shanghai. Lessons from the Shanghai Integration Model will provide empirical evidence that can be disseminated across China’s metropolitan, urban, and rural communities.
The meeting was hosted by Shankai Yin, vice president of Shanghai Sixth People’s Hospital and president of Shanghai Eighth People’s Hospital. Distinguished speakers included Chun Cai, deputy director of the disease control department of Shanghai’s Health and Family Planning Commission, Weiping Jia, president of Shanghai Sixth People’s Hospital, and Chenggang Zhu, vice mayor of the Xuhui people’s government. Also in attendance were Qiang Liu, director of the Xuhui Health and Family Planning Commission, and leaders from Shanghai Eighth People’s Hospital and 13 Xuhui community health centers. More than 200 community health care workers and diabetes patients also participated in the meeting.
Four speakers were invited to deliver master lectures during the conference:
Shanghai Integrated Model – Diabetes Management between Hospitals and Communities
Director of Endocrinology and Metabolism
Shanghai Sixth People’s Hospital
Peer Support in Diabetes Management: Improving Engagement in Care, Diabetes Self Management, and Quality of Life
Edwin B. Fisher
Professor of Health Behavior, Gillings School of Global Public Health
University of North Carolina
CVD Risk Prevention for Diabetes Patients
Associate Chief Physician
Shanghai Eighth People’s Hospital
Dietary Treatment of Diabetic Nephropathy
Director of Clinical Nutrition
Shanghai Sixth People’s Hospital
In the afternoon, community-based medical staff received training on diabetic eye disease and foot disease screening and visited the ward area of the Endocrinology and Metabolism department, the office of the Shanghai Metabolic Diseases/Diabetes Prevention and Treatment Service System development project, and the Shanghai Diabetes Institute. Follow-up trainings will be arranged for April, which will include site visits to the Shanghai Integration Model implementation in Zhenru community health centers in Putuo district.