• General patients with diabetes and those with multiple chronic comorbidities

• High-risk populations and community-referred cases

Gandau Hospital, centered on “smart integration and community inclusion,” has established a comprehensive diabetes shared-care model for regional hospitals. By integrating cloud-based health platforms and telehealth education, it provides real-time data feedback and case management to enhance self-care and follow-up efficiency. Through collaboration with clinics, pharmacies, and long-term care institutions, it strengthens early detection and lifestyle intervention for high-risk populations. This model combines professional care, digital innovation, and community engagement to deliver accessible, continuous, patient-centered diabetes care, advancing health promotion and sustainable care.

• Implemented smart healthcare technologies to enable data-driven decision-making, improving precision and efficiency of diabetes care.

• Integrated smart care platforms with remote monitoring devices to provide home-based health management for older adults and patients with chronic diseases.

• Leveraged LINE communities, multimedia education, and remote health management systems to strengthen patients’ health literacy and self-management capacity.

• Established a community-based diabetes prevention and management network to promote health initiatives, improving healthcare efficiency and accessibility.

• Provided diabetes shared-care network services to 5,215 patients.

• Delivered diabetes education services to 11,356 patient visits.

• Expanded the LINE community to 780 members.

• Conducted 37 diabetes health education seminars with 1,577 participants.

• Organized 18 diabetes awareness and community outreach events for patients and the public, with 1,091 participants.

• Diabetes care coverage rate: 79.25%

• HbA1c testing rate: 98.28%

• Fasting lipid profile testing rate: 83.91%

• Urine microalbumin screening rate: 76.09%

• Fundus examination completion rate: 60.72%

• Health literacy improvement rate: 80%

• HbA1c <7% achievement rate: 57%

• Reduction rate of HbA1c >8.5% to ≤8%

• Blood pressure target achievement rate (SBP <130 and DBP <80 mmHg): 48.2%

• Low-density lipoprotein cholesterol target achievement rate (LDL-C <100 mg/dL): 62.0%

• Patient satisfaction with diabetes education services reached 97%.

• Satisfaction with the LINE group reached 96%.

• Exchange visit by the Minister of Health of Saint Kitts and Nevis in 2019

• Exhibitor at the 7th (2023) and 8th (2024) Taiwan Healthcare Expo

• Research presentation at the 2023 IDF Western Pacific Region Congress

• Research presentation at the 29th International Conference on Health Promoting Hospitals and Health Services in 2023

• Research presentation at the 30th International Conference on Health Promoting Hospitals and Health Services in 2024

• Research presentation at the 2025 International Council of Nurses Congress

• Improve overall quality of diabetes care and control rates

• Strengthen patient self-management and health literacy

• Enhance early screening and complication prevention outcomes

• Promote telemedicine and smart health applications

• Improve healthcare accessibility for older adults and patients with chronic diseases

• Advance healthcare sustainability and community health integration