徳島県の糖尿病における健康保持増進体制 : 基幹病院からの糖尿病地域連携の実施例 糖尿病連携手帳の活用

Patients with diabetes are increasing in Japan. In２００７,８．９million persons were estimated to have diabetes in Japan. Forty four ％ of them were not treated, and only３０％ achieved good glycemic controls. On the other hand, there are only３７diabetes specialists in Tokushima（January２０１１）. To break away the worst mortality rate, we needed to use limited medical resources, effectively.
From April２００８, we created a critical pathway to regional medical network for diabetes.
Unfortunately, this critical pathway adapted very limited patients, because it was inconvenient to carry to several hospitals.
Next, we used diabetes network notebook published by Japan Association for Diabetes Education and Care. To evaluate its usefulness as a tool for regional network,３５patients who were treated by general practitioner and diabetes specialist, introduced this diabetes network notebooks. Thirty two patients（９１．４％）carried the notebooks at their second visit. HbA１c levels did not change between before and after.
Therefore we suggest this notebook may be useful to promote diabetes regional network.

四国医学雑誌 : http://www.tokushima-u.ac.jp/med/research/shikoku_acta_medica.html