Hendricks L E, Hendricks R T
LHCA's Diabetes Self-Management Skills Training Center, Wheaton, Maryland
Diabetes Educ. 1999 Sep-Oct;25(5):766-70, 772-3. doi: 10.1177/014572179902500509.
Outsourcing of diabetes disease state management services by MCOs is a good thing for enrollees with diabetes. It is a good mechanism for MCOs that are striving to cut the costs of diabetes care, and it is a trend that the authors expect to see continue in an accelerated way, given the new diagnostic guidelines released by the American Diabetes Association and the epidemic of diabetes among older persons. Through a partnership with a quality, freestanding, outpatient diabetes disease state management center staffed by CDEs, MCOs with a vision can expect to profit now and pay less later for devastating, expensive diabetes complications that lead to increased hospitalizations.
管理式医疗组织（MCOs）将糖尿病疾病状态管理服务外包，对糖尿病参保人来说是件好事。对于那些努力削减糖尿病护理成本的管理式医疗组织而言，这是一种很好的机制。鉴于美国糖尿病协会发布的新诊断指南以及老年人中糖尿病的流行情况，作者预计这一趋势将以更快的速度持续下去。通过与一个由糖尿病教育者（CDEs）组成的高质量、独立的门诊糖尿病疾病状态管理中心建立合作关系，有远见的管理式医疗组织有望现在获利，并在日后为导致住院率上升的毁灭性、昂贵的糖尿病并发症支付更少的费用。
