A nurse-managed diabetes care programme

Abstract

NMDC programme improves diabetes outcomes more significantly than endocrinologist-directed care.

The impact of an assisted diabetes care programme on a private practice

“…Recent studies have demonstrated that in public health and university centres, nurses that follow treatment algorithms can produce significantly better Data were n (%) or mean ± SD. diabetes outcomes than those can be achieved with physician-directed care (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), even if the physicians are endocrinologists themselves (32). But unfortunately, diabetes care programmes run by health workers without the physical presence of a physician might not be psychologically acceptable to the diabetic patients who choose to seek care in private diabetes or endocrinology clinics or offices.…”

“…We therefore redesigned the delivery of diabetes care and applied it to diabetic patients attending a private endocrinology clinic for a period of 12 months. The new model was a nurse-assisted diabetes care (NADC) instead of a nurse-managed care programme (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). In this model, in terms of task distribution among team members, the pretrained nurse functioned in a complementary capacity.…”

“…In community and public health centres, especially trained nurses who follow detailed protocols and algorithms under the supervision of a diabetologist can markedly improve diabetes outcomes (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31). The feasibility of a similar care and its possible impact on financial outcomes of private diabetes clinics or offices as well as the duration of patient's visit in such setting have not been studied and so far remains unknown.…”

Comprehensive Diabetes and Non-Communicable Disease Educator in the Low-Resource Settings

“…16 The doctors usually have to deal with other more immediate problems of the patients. 17 All health care workers need to be prepared for the different situations depending on their responsibilities and workplace where patients interact with them. In order for the members of staff to carry out their roles effectively, no matter the level of their career, the knowledge and skills standards have to be set for everyone who is in regular contact with patients with diabetes 8 and other major NCDs.…”

Getting the job done: the diabetes nurse specialist

“…In their study, Dr Pishad et al. (4) recognise the impact of patient education and intensive management of the individual with diabetes. They note that time constraints and economic realities frequently interfere with their ability to provide that level of care.…”