Subject    :    [2017 Apr;41(2)] A Clinical Practice Guideline to Guide a System Approach to Diabetes Care in Hong Kong
Writer KDA
Date 2017-07-06 10:58:03 Hit 5,561
Diabetes Metab J. 2017 Apr;41(2):81-88. English.
Published online Apr 14, 2017.  https://doi.org/10.4093/dmj.2017.41.2.81 
Copyright © 2017 Korean Diabetes Association
   
A Clinical Practice Guideline to Guide a System Approach to Diabetes Care in Hong Kong
Ip Tim Lau1,2
1Department of Medicine, Tseung Kwan O Hospital, Hong Kong.
2Central Committee on Diabetic Services, Hong Kong Hospital Authority, Hong Kong.

Corresponding author: Ip Tim Lau. Department of Medicine, Tseung Kwan O Hospital. 2 Po Ning Lane, Tseung Kwan O, Hong Kong. Email: lauit@ha.org.hk 
 
Received November 30, 2016; Accepted January 02, 2017.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

 
Abstract

The Hospital Authority of Hong Kong is a statutory body that manages all the public medical care institutions in Hong Kong. There are currently around 400,000 diabetic patients under its care at 17 hospitals (providing secondary care for 40%) and 73 General Outpatient Clinics (providing primary care for 60%). The patient population has been growing at 6% to 8% per year over the past 5 years, estimated to include over 95% of all diagnosed patients in Hong Kong. In order to provide equitable and a minimal level of care within resources and local system factors constraints, a Clinical Practice Guideline on the management of type 2 diabetes mellitus was drawn in 2013 to guide a system approach to providing diabetes care. There is an algorithm for the use of various hypoglycemic agents. An organizational drug formulary governs that less expansive options have to be used first. A number of clinical care and patient empowerment programs have been set up to support structured and systematic diabetes care. With such a system approach, there have been overall improvements in diabetes care with the percentage of patients with glycosylated hemoglobin <7% rising from 40% in 2010 to 52% in 2015.

   
Keywords:
Delivery of health care, integrated; Diabetes mellitus; Disease management; Practice guideline; Risk assessment; Self care
 
 

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