Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2025-07-18 Cooperative journals: 《中国全科医学》
Abstract： Background As one of the serious chronic complications of diabetes，diabetic foot is characterized by high rate of disability and high burden of diseases. which require multi-disciplinary collaboration and long-term standardized management in the prevention and treatment of diseases. At present，there are many difficuties during the management of diabetic foot in all community-level medical and health care institutions，such as insufficient specialized resources and lack of continuous care .Objective Through the analysis of a successful management path in diagnoses and treatments process of a case of type 2 diabetes patient complicated with diabetic foot，to investigate the feasibility of promoting the co-care management model based on the“Specialist-General Practitioner”family medicine team contractual services in the management of diabetic complications in community health service center. Methods Through combing and analyzing the whole treatment and management pathway of a diabetes foot patient under the new model of "Specialist-General Practitioner"family medicine team contractual services. we searched for relevant literature from 2004 to 2024 in the full-text journal of CNKI database，Wan-fang database，Vip database and PubMed database with the key words of “Diabetic foot，Community”in Chinese and“Diabetic foot and Management，Diabetic foot and Administration，Community diabetic foot”in English. The results showed that the new model for co-care management in diabetic foot had more obvious advantage and widespread concern than the existing community management models and contents. Results Under the new model of "Specialist-General Practitioner"family medicine team contractual services，the patient's gangrenous toes linked to his diabetes were preserved and the foot infection associated with diabetes was cured. Meanwhile，the patient's blood sugar，blood lipids，and blood pressure gradually reached the standard of good control.According to the document retrieval results，it is found that most of the management models for community diabetes foot at home and abroad are still in the primary stage，including community-based management model，hospital-community linkage management model，hospital-community-family management model，Internet plus hospital-community-family intelligent nursing model，self-management model，multidisciplinary teams management，telemedicine model by using computer software，smartphones，apps running on tablets，network camera and other devices，artificial intelligence prediction model for diabetes foot ulcers and multi-disciplinary integration of diabetes foot management team. Conclusion The co-care model based on "Specialist-General Practitioner"family medicine team contractual services got remarkable effect on the management of diabetes foot in the community. Compared to the similar models in China and abroad，this model has a simple team structure，clear division of labor among members，emphasis on individualization of services，and work more efficiently，，which is worth spreading and applying in the community health service center.
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