糖尿病经济学

Economics of diabetes mellitus.

作者信息

Krein Sarah L, Funnell Martha M, Piette John D

机构信息

VA Ann Arbor Healthcare System, Center for Practice Management and Outcomes Research, Ann Arbor, MI 48105, USA.

出版信息

Nurs Clin North Am. 2006 Dec;41(4):499-511, v-vi. doi: 10.1016/j.cnur.2006.07.003.

DOI:10.1016/j.cnur.2006.07.003

PMID:17059971

Abstract

The increasing prevalence of diabetes and prediabetes makes the cost of diabetes care a pressing concern. Nurses in all settings play a critical role in helping to reduce the cost of diabetes not only for individual patients but ultimately for the health care system. This article focuses on four main issues related to the economic impact of diabetes for patients and health systems: (1) overall estimates of the direct and indirect costs of diabetes and its associated complications, (2) the impact of cost on diabetes care and health outcomes, (3) the ways in which federal- and state-mandated insurance for persons with diabetes is being used to promote more cost-effective and high-quality diabetes care, and (4) the use of cost-effectiveness analysis to evaluate interventions designed to prevent diabetes or diabetes-related complications.

摘要

糖尿病和糖尿病前期患病率的不断上升，使得糖尿病护理成本成为一个紧迫的问题。各类医疗机构中的护士在帮助降低糖尿病成本方面发挥着关键作用，这不仅关乎个体患者，最终也关乎医疗保健系统。本文聚焦于与糖尿病对患者和卫生系统的经济影响相关的四个主要问题：（1）糖尿病及其相关并发症的直接和间接成本的总体估算；（2）成本对糖尿病护理和健康结果的影响；（3）联邦和州规定的糖尿病患者保险用于促进更具成本效益和高质量糖尿病护理的方式；（4）使用成本效益分析来评估旨在预防糖尿病或糖尿病相关并发症的干预措施。