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ORIGINAL RESEARCH article
Front. Endocrinol.
Sec. Clinical Diabetes
Volume 16 - 2025 | doi: 10.3389/fendo.2025.1490131
Evaluation of One-Stop Diagnosis and Management at the Collaborative National
Provisionally accepted- 1Department of Nursing, First Affiliated Hospital, Dalian Medical University, Dalian, Liaoning Province, China
- 2First Affiliated Hospital, Dalian Medical University, Dalian, Liaoning Province, China
- 3Department of Endocrinology and Metabolism, the First Affiliated Hospital of Dalian Medical University, Dalian, China
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Objective: To evaluate the effectiveness of diagnosis and treatment at the collaborative National Standardized Metabolic Disease Management Center.Methods: A nationally standardized selection process was used to recruit the healthcare team, followed by standardized training and assessment. The management center was equipped with coordinated healthcare resources, and clear workflows and responsibilities were established. A quality control management model was implemented throughout all stages. A convenience sample of 452 patients treated at the center between January 2018 and July 2023 was selected. After one year of management, a self-comparison was conducted to evaluate the impact of one-stop diagnosis and management on patients' weight, fasting blood glucose, glycated hemoglobin, blood pressure, blood lipids, diet, and exercise.Results: After one year of management, patients showed significant reductions in weight, BMI, waist circumference, and visceral fat compared to baseline data (P=0.000). Fasting blood glucose and glycated hemoglobin levels decreased significantly (P<0.0001), as did systolic and diastolic blood pressure (P<0.05). Triglycerides, low-density lipoprotein cholesterol, and total cholesterol levels also decreased significantly (P<0.05), but high-density lipoprotein levels did not change significantly (P=0.5298). Improvements were observed in dietary and exercise behaviors (P<0.05), though no significant change was observed in salt intake (P=0.648).The collaborative model at the National Standardized Metabolic Disease Management Center enhances comprehensive patient management. Combined with lifestyle guidance on diet and exercise, the model improves the prevention and control of glycemic and lipid metabolism indicators in diabetes patients.
Keywords: Collaborative healthcare, National Standardized Metabolic Disease Management Center, diabetes, Diagnosis and treatment workflow, Management mode
Received: 02 Oct 2024; Accepted: 11 Apr 2025.
Copyright: © 2025 Yin, Yu, Li, Shi, Weiping, MEN and Jia. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
LILI MEN, Department of Endocrinology and Metabolism, the First Affiliated Hospital of Dalian Medical University, Dalian, China
Lihong Jia, First Affiliated Hospital, Dalian Medical University, Dalian, 116011, Liaoning Province, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.