OUTLINE

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Addressing the Pressing Needs of Diabetes
China Diabetes Education Program
A Decade of
Multi-Partnership Effort
Andee Cooper China Diabetes Program Team Project
HOPE
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Presenter Disclosures
Andee Cooper

• (1) The following personal financial
  relationships with commercial interests relevant
  to this presentation existed during the past 12
  months

No relationships to disclose
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Diabetes in China
Diagnosed 15 million

• Type 2 Diabetes prevalence in age group 2074
  years
• 1981 0.86
• 1996 3.24
• 2002 5.7 (Estimated)
• 2008 7.7 (Estimated)

OAD Oral anti-diabetic IGT Impaired glucose
tolerance
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Magnitude of Diabetes in China

• Seven fold increase since 1981
• 2nd in number of diabetes patients in the world
• Expect to exceed 50 million within the next 20
  years

Population million
Diabetes Atlas, 3rd edition IDF, 2006, Pan XR et
al, Diabetes care 1999, Gu et al Diabetologia 2003
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Partnerships
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China Diabetes Education Program (1998-2009) A
partnership between BD, Eli Lilly, Roche, and HOPE
CDEP 1998-2003
Extension I 2003-2005
Extension II 2007-2009
To bring diabetes care and education to
communities
To ensure sustainability of program by
optimizing the existing network and resources
Goal To improve quality of diabetes care in
China by training a professional team and raising
public awareness
Year
1996 1997 1998 1999 2000 2001 2002 2003
2004 2005 2006 2007 2008 2009 2010 2011
2012
1st Assessment
2nd Assessment
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Project Goal

• Project Goal
• To improve quality of diabetes care in China by
  training a professional team and raising public
  awareness

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Program sites
Harbin
Beijing
Qingdao
Xian
Nanjing
Shanghai Huashan
Shanghai Ruijin
Chengdu
Hangzhou
10 Train-the-Trainer Centers
812 hospitals/community care centers
1,577 Trained Trainers 202,083
Beneficiaries --36,960 medical
professionals --165,123
patient/family members/citizens
Guangzhou
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Training Methodology of TOT Courses

• Lectures
• Case Studies
• Group Discussion
• Practice
• Role Playing
• Clinical Demonstrations
• Question Answer Sessions
• Ward Rounds
• Continuous Medical Education (CME) Accreditation

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Program Extension I

• Raise Awareness of Diabetes Care and Support and
  Build Sustainability of the Model to the Policy
  level (2003 2005)
• Project Goal
• To provide evidence-based diabetes information to
  the MOH, policy makers, and partners on diabetes
  situation in China

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Program Extension II

• Bring Diabetes Care and Education to the
  Community
• (2007 2009)
• Project Goal
• To develop a practical and replicable community
  diabetes care model

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Bring Diabetes Care and Education to Community
(2007 - 2009)
Project Structure
Project HOPE Diabetes Program
Peoples Hospital of Peking University
Shanghai Ruijin Hospital
Community health care center
Community health care center
Control group ( 219 samples)
Intervention group (195 samples)
Intervention Group ( 102 samples)
Control group ( 100 samples)
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Key Elements of Shared Care
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Achievements To-Date

• 452 community care providers trained at model
  sites
• 3,102 people with diabetes trained
• Mid-term evaluation conducted
• Project newsletter and World Diabetes Day event
  completed
• SENTAG meeting held

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Project Achievements
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Overall Program Achievements

• Training and education materials
• Community diabetes care model
• Recognition by MOH in China

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Training Educational Materials
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Project HOPE Diabetes Programs in China Evolving
Program to Meet Emerging Needs

China Diabetes Program National
Expansion 2008-2013
CDEP 1998-2003
Extension I 2003-2005
Extension II 2007-2009
Year
1996 1997 1998 1999 2000 2001 2002 2003
2004 2005 2006 2007 2008 2009 2010 2011
2012
1st assessment
2nd assessment
3rd assessment