Lee P D
Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Tex Med. 1992 Jul;88(7):64-8.
Treatment of childhood diabetes mellitus has undergone many recent changes, one of which is an increasing focus on outpatient management. In mid-1988, the pediatric diabetes clinic at Texas Children's Hospital began adopting an outpatient-focused treatment program using a care team. This report reviews our experience during this transition. Between 1987 and 1990, the percentage of new-onset patients who were never admitted to the hospital increased from 0 to 38%. Length of stay for new-onset patients who are admitted has declined. The shift in program focus has also led to decreased diabetes-related readmissions and length of stay per readmission. Estimated total patient cost savings exceed $100,000 per year for new-onset patients alone. Our results regarding patient care and cost-effectiveness agree with reports from other such diabetes treatment programs and support greater acceptance and use of this outpatient-focused approach.
儿童糖尿病的治疗近年来发生了许多变化，其中之一是越来越注重门诊管理。1988年年中，德克萨斯儿童医院的儿科糖尿病诊所开始采用以门诊为重点的治疗方案，组建了一个护理团队。本报告回顾了我们在这一转变过程中的经验。1987年至1990年期间，从未住院的新发病患者比例从0%增至38%。已住院的新发病患者的住院时间有所缩短。治疗方案重点的转变还导致糖尿病相关再入院率和每次再入院的住院时间下降。仅新发病患者每年估计节省的患者总成本就超过10万美元。我们在患者护理和成本效益方面的结果与其他此类糖尿病治疗方案的报告一致，并支持更多地接受和采用这种以门诊为重点的方法。
