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Updated: Feb 28, 2026

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一个区域范围内的中心和讲话方法来标准化和分散1型糖尿病管理
Nicola Minuto1, Giordano Spacco2, Giulia Siri3
1Pediatric Clinic, Department of Pediatric Clinical Sciences IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Frontiers in public health
|February 27, 2026
概括
枢纽和分支模型改善了1型糖尿病 (T1D) 护理,增加了范围和技术使用时间,同时降低了旅行成本和二氧化碳排放. 这个模型为T1D管理提供了一个可扩展的解决方案.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 1型糖尿病 (T1D) 管理需要专门的,以技术为导向的护理,在分散的医疗保健系统中具有挑战性.
- 意大利的利古里亚地区于2023年7月实施了Hub and Spoke模式,以集中儿童糖尿病护理.
- 本研究评估了该模型对临床,技术和环境结果的影响的最初一年.
研究的目的:
- 评估Hub and Spoke模型在儿童1型糖尿病护理中的有效性.
- 评估血糖控制,技术采用和资源利用的变化.
- 确定重组护理模式的临床,技术和环境影响.
主要方法:
- 在Liguria Hub and Spoke系统中对T1D患者 (<35岁) 的回顾性观察研究.
- 将患者分为转移,获得和新发病组.
- 主要结果:时间变化范围 (TIR) 70-180 mg/dL;次要结果:CGM指标,技术使用 (rtCGM,AID),旅行距离,成本和CO2排放.
主要成果:
- 88名患者完成了1年的随访;时间范围 (TIR) 从57.2%增加到65.1% (p < 0.001).
- 获得性患者的改善更为显著;辅助药物的使用大幅增加,特别是在获得性患者中.
- 该模型带来了显著的环境和经济效益,节省了旅行距离,二氧化碳排放和成本.
结论:
- 枢纽和口腔模型是可行的和有效的T1D护理,标准化交付和改善结果.
- 该模型促进了糖尿病技术的更广泛采用,并增强了血糖控制.
- 这种方法为各种医疗保健环境中的T1D管理提供了可扩展,可持续的解决方案.
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