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
