J Korean Diabetes.  2020 Sep;21(3):161-165. 10.4093/jkd.2020.21.3.161.

Challenges in the Management of Diabetes in Primary Care

• Lee YK

• KMID: 2507048
• DOI: http://doi.org/10.4093/jkd.2020.21.3.161

Abstract

Diabetes management in primary care is critical to reducing the occurrence and severity of complications through blood sugar management and early detection. A chronic disease management in primary care pilot project, based on the Chronic Care Model (CCM) model that provides patient education on, regular monitoring blood glucose level, medication intake, healthy lifestyle practice, and complications has been developed and applied. Primary care in Korea should provide appropriate education to patients with diabetes and increase the rate of complication testing. In addition, it is of the utmost importance to establish an infrastructure for medical staff to manage patients on a team basis and to establish a patient management system in the community by strengthening primary center (private) and public health care center (public) cooperation activities.

Keyword

Care coordinator; Chronic Care Model; Diabetes management in primary center; Privatepublic cooperation

Reference

1. Korea Centers for Disease Control and Prevention. 2018 The Korea National Health and Nutrition Examination Survey (KNHANES). Cheongju: Korea Centers for Disease Control and Prevention;2020.

2. Korean Diabetes Association. Diabetes fact sheet 2018. Seoul: Korean Diabetes Association;2018.

3. The Organisation for Economic Co-operation and Development (OECD). Health at a glance 2017. Paris: The Organisation for Economic Co-operation and Development (OECD);2017.

4. Jeong E, Park N, Kim Y, Jeon JY, Chung WY, Yoon D. Temporal trajectories of accompanying comorbidities in patients with type 2 diabetes: a Korean nationwide observational study. Sci Rep. 2020; 10:5535.

5. Seo DH, Kang S, Lee YH, Ha JY, Park JS, Lee BW, et al. Current management of type 2 diabetes mellitus in primary care clinics in Korea. Endocrinol Metab (Seoul). 2019; 34:282–90.

6. Park EJ, Jeon JA, Kim DE, Song ES, Choi SJ, Sim BR. Healthcare service utilization among Korean patients with chronic disease: focusing on hypertension and type 2 diabetes mellitus. Sejong: Korea Institute for Health and Social Affairs;2016.

7. Bodenheimer T, Ghorob A, Willard-Grace R, Grumbach K. The 10 building blocks of high-performing primary care. Ann Fam Med. 2014; 12:166–71.

8. Steinsbekk A, Rygg LØ, Lisulo M, Rise MB, Fretheim A. Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res. 2012; 12:213.

9. Lee JK. Self-management and its predictors for patients with poorly controlled type 2 diabetes. Korea J Adult Nurs. 2009; 21:447–57.

10. Kim S, Nah EH, Cho S. Prevalence of comorbidities among patients w ith diabetes. J Health Info Stat. 2018; 43:237–44.

11. Jeon JA, Son SJ, Lee RH, Choi JH. Prevalence of multimorbidity and transitional patterns of chronic diseases among Korean adults. Sejong: Korea Institute for Health and Social Affairs;2014.