Duncan Ian, Birkmeyer Christian, Coughlin Sheryl, Li Qijuan Emily, Sherr Dawn, Boren Sue
Solucia Consulting, Hartford, Connecticut (Mr Duncan, Mr Birkmeyer, Dr Coughlin, Ms Li)
American Association of Diabetes Educators, Education and Content Development, Chicago, Illinois (Ms Sherr)
Diabetes Educ. 2009 Sep-Oct;35(5):752-60. doi: 10.1177/0145721709343609.
The purpose of this study was to evaluate the impact of diabetes self-management education/training (DSME/T) on financial outcomes (cost of patient care).
Commercial and Medicare claims payer-derived datasets were used to assess whether patients who participate in diabetes education are more likely to follow recommendations for care than similar patients who do not participate in diabetes education, and if claims of patients who participate in diabetes education are lower than those of similar patients who do not.
Patients using diabetes education have lower average costs than patients who do not use diabetes education. Physicians exhibit high variation in their referral rates to diabetes education.
The collaboration between diabetes educators and physicians yields positive clinical quality and cost savings. The analysis indicates that quality can be improved, and cost reduced, by increasing referral rates to diabetes education among low-referring physicians, specifically among men and people in disadvantaged areas. More needs to be done to inform physicians about ways to increase access to diabetes education for underserved populations.
本研究旨在评估糖尿病自我管理教育/培训（DSME/T）对财务结果（患者护理成本）的影响。
使用商业和医疗保险索赔支付方提供的数据集，评估参与糖尿病教育的患者是否比未参与糖尿病教育的类似患者更有可能遵循护理建议，以及参与糖尿病教育的患者的索赔是否低于未参与的类似患者。
使用糖尿病教育的患者平均成本低于未使用糖尿病教育的患者。医生在糖尿病教育转诊率方面存在很大差异。
糖尿病教育者与医生之间的合作产生了积极的临床质量并节省了成本。分析表明，通过提高低转诊率医生（特别是男性和弱势地区人群）的糖尿病教育转诊率，可以提高质量并降低成本。需要做更多工作来告知医生如何增加为服务不足人群提供糖尿病教育的机会。
