More Efficient Care of Diabetic Patients in a County-Hospital Setting

Miller, Leona V.; Goldstein, Jack

doi:10.1056/nejm197206292862605

Cited by 258 publications

(55 citation statements)

References 2 publications

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“…It is conceivable that structured education in the first course after diabetes onset results in lower complication events and will lead to lower hospitalization in the following [17,29,30,31,32,33]. Nevertheless, it has to be discussed whether educational programmes can be performed in outpatient settings.…”

Section: Discussionmentioning

confidence: 99%

Hospitalization among diabetic children and adolescents and non-diabetic control subjects: a prospective population-based study

et al. 2001

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Section: Discussionmentioning

confidence: 99%

Hospitalization among diabetic children and adolescents and non-diabetic control subjects: a prospective population-based study

et al. 2001

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“…It is conceivable that structured diabetes education results in fewer acute complications. This effect could be shown in several trials (23)(24)(25) and populationbased studies (10). Nevertheless, diabetes education does not always require inpatient hospital care; it could also be performed in specialized outpatient settings (26).…”

Section: Costs Of Hospital Carementioning

confidence: 95%

Hospitalization Among Diabetic Children and Adolescents and the General Population in Germany

Icks

Rosenbauer²,

Holl³

et al. 2001

Diabetes Care

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OBJECTIVE -To compare hospitalization in a multicenter-based cohort of diabetic children and adolescents (aged 1-19 years) in Germany with that of the general population.RESEARCH DESIGN AND METHODS -Based on standardized documentation, hospital stays after manifestation were ascertained in diabetic subjects 1-19 years of age in 1997. Hospitalization data in the general German population were derived from official statistics. Incidence rates and numbers of hospital days were estimated. Ratios of hospitalization incidences and numbers of hospital days between the diabetic and the general population were calculated. Costs for hospital care in the German diabetic population in 1997 were determined.RESULTS -A total of 5,874 patients came from 61 pediatric centers (52% male, age [mean Ϯ SD] 12.2 Ϯ 4.3 years, diabetes duration 4.6 Ϯ 4.4 years). Hospitalization incidence rates and hospital days per person-year (95% CI) were 0.27 (0.25-0.29) and 1.80 (1.75-1.84) in the diabetic population and 0.0948 (0.0946 -0.0949) and 0.6416 (0.6412-0.6420) in the general population. The standardized ratio of hospital incidences was 3.1 (2.9 -3.2), and the ratio of numbers of hospital days was 2.8 (2.7-2.9). Costs for hospital care after manifestation were estimated to be $506 (U.S. dollars) per person-year and $12.4 million in the whole German diabetic population aged 1-19 years in 1997; including hospital stays at diabetes onset, total annual costs were $24 million ($970 per person-year).CONCLUSIONS -Diabetic children and adolescents in Germany had an approximately three times higher hospitalization risk and three times more hospital days than the age-matched general population. Including hospitalization at diabetes onset, the annual costs of hospital care for the German diabetic population aged 1-19 years amounted to ϳ1% of all costs for hospital care in this age-group. Thus, costs were largely overproportional (diabetes prevalence 0.1%).

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“…7 Alone or in combination with other interventions, it has a demonstrated role in reducing microvascular complications, 8 reducing the number and duration of hospital stays and the likelihood of re-admission, especially with regard to amputation. [9][10][11][12][13] Diabetes nurse-educators specialise in the non-medical management and education of people with diabetes. Their role is to inform, educate, support and provide clinical nursing care to people with diabetes.…”

Section: How Useful Is Patient Education In the Overall Management Ofmentioning

confidence: 99%

The optometrist's role in the multidisciplinary diabetes team: towards a more holistic approach

Colagiuri

1999

Clinical and Experimental Optometry

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Diabetes is a chronic and costly disease, which is increasingly affecting Australians of all ages. It imposes a personal and public health threat. Every health care provider will encounter numerous people with diabetes in the course of practice and will have the opportunity to influence the course of diabetes in individual patients. Optometrists have recognised technical training and expertise in detecting diabetic eye disease but can also be effective in helping to improve overall diabetes outcomes by adopting strategies which can assist in: 1. the earlier detection of undiagnosed diabetes, 2. earlier referral to appropriate services for people with established diabetes and who may be experiencing problems and 3. greater patient awareness of recommendations for optimal diabetes care. This article provides an overview of the way diabetes services are currently provided in Australia and the role of non‐medical providers in the management of diabetes. Suggestions are made for greater involvement of optometrists as members of the multi‐disciplinary diabetes team.

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More Efficient Care of Diabetic Patients in a County-Hospital Setting

Cited by 258 publications

References 2 publications

Hospitalization among diabetic children and adolescents and non-diabetic control subjects: a prospective population-based study

Hospitalization among diabetic children and adolescents and non-diabetic control subjects: a prospective population-based study

Hospitalization Among Diabetic Children and Adolescents and the General Population in Germany

The optometrist's role in the multidisciplinary diabetes team: towards a more holistic approach

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