糖尿病は誰が診る?

—糖尿病病診連携構築における地域特異的問題と普遍的問題—

抄録

Established practice guidelines for the treatment of diabetes in Japan do not currently provide satisfactory glycemic control and outcomes. One of the most important problems facing the fewer than three thousand specialists who must treat 16.2 million diabetic patients is the lack of a strategic approach to the provision of care to all diabetes patients in Japan. Recently, local area diabetes care networks are being advocated as a model for diabetes care. The current article describes the various problems associated with establishing a diabetes care network among general practitioners in the Inba region of Chiba, and reviews the more general problems in providing diabetes care on a national basis.