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Abstract: The hierarchical medical system is regarded as the fundamental solution to the problem of 'difficulty and high cost of medical treatment' in China, and a key measure to comprehensively deepen the reform of the medical and health system. The primary medical institution is an important position to implement the hierarchical medical system. Type 2 diabetes mellitus is one of the most common chronic diseases, and its main hazards are the microvascular and macrovascular complications. Cardiovascular disease has become a major cause of death or disability in patients with diabetes mellitus. There are still some problems in China's primary medical institutions, such as insufficient medical technology and quality resources, relatively low awareness and ability of comprehensive management, unclear responsibilities of superior and subordinate medical institutions, and imperfect two-way referral mechanism. In order to meet the medical needs of diabetes prevalence of rapid growth, comprehensively enhance the ability of grassroots general practitioners with the integration of medicine and prevention and the whole process of homogeneity to manage diabetes, effectively carry out the screening and diagnosis of diabetes and its complications, patient health education and hierarchical management, the training of diabetes management ability, assessment, grading and authorization of grassroots general practitioners need to be standardized and strengthened. For this reason, the consensus drafting experts committee has formulated the 'Experts consensus on the grading medical care and quality management of type 2 diabetes mellitus' (hereinafter referred to as the consensus). The consensus strives to highlight rationale, practicality and accessibility, and combines scientific evidence with rural and community medical practice, expecting to standardize diabetes diagnosis and treatment, improve diabetes management skills, and eventually make rural and community general practitioners be able to serve as reliable 'gatekeepers' for public's health.
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