Ward J D, MacKinnon M
Royal Hallamshire Hospital, Sheffield.
Qual Health Care. 1992 Dec;1(4):260-5. doi: 10.1136/qshc.1.4.260.
Providing good quality diabetes care is complex but achievable. Many aspects of the care do not require high tech medicine but, rather, good organisation. Diabetes is a costly disease, consuming 1500 pounds per diabetic patient per year versus 500 pounds on average for a non-diabetic member of the population in health service costs. Investment now in good quality diabetes care is sound: patients will benefit from a better quality of life associated with a reduced incidence of the complications of diabetes and the direct costs to the health service in treating these complications and the indirect costs to employers will be reduced. Physical and clinical assessments--measurements of blood glucose and glycosylated haemoglobin concentrations, weight, and blood pressure and assessment of eyes, kidneys, feet, and heart--are clearly important, but quality must include consideration of people and their reactions to life and diabetes--a lifelong entanglement--for which much more support should be provided.
提供高质量的糖尿病护理很复杂，但并非无法实现。护理的许多方面并不需要高科技医学，而是需要良好的组织。糖尿病是一种成本高昂的疾病，每位糖尿病患者每年的医疗服务成本为1500英镑，而普通非糖尿病患者的平均成本为500英镑。现在对高质量糖尿病护理进行投资是明智的：患者将受益于与降低糖尿病并发症发生率相关的更高生活质量，医疗服务在治疗这些并发症方面的直接成本以及雇主承担的间接成本都将降低。身体和临床评估——测量血糖和糖化血红蛋白浓度、体重、血压以及评估眼睛、肾脏、足部和心脏——显然很重要，但质量还必须包括考虑患者及其对生活和糖尿病（一种终身困扰）的反应，对此应提供更多支持。
