In 2015, the city of Xiamen introduced a system known as the
Three-Division Co-management Model to create a more integrated
healthcare system with better coordination and communication between
primary and tertiary care levels. Cities Changing Diabetes in Xiamen
has been supporting the implementation of this model since the city
joined the network in 2017.
By strengthening the care at the primary level through community
health centres, Xiamen hopes to reduce the number of people requiring
tertiary care in large hospitals for diabetes-related complications.
Creating and implementing the Three-Division Co-management Model has
required improving and standardising skills related to diagnosing and
treating diabetes at the grassroots level. Xiamen has set up
additional health clinics in vulnerable communities and trained almost
1,000 health managers to support community-based general practitioners.
Under this model of care, people living with diabetes are cared for
by a team of specialists that provides comprehensive,
multidisciplinary and holistic healthcare within the community.
" The Cities Changing Diabetes project can help the high-risk
diabetes population to carry out early prevention, not only by
expanding the primary prevention of diabetes, but also by improving
the tertiary prevention of diabetes."
— Yao Guanhua, director of Xiamen Municipal Health Commission
Tianjin case study