Solucia Consulting, Farmington, Connecticut (Mr Duncan, Dr Ahmed, Ms Li),
Department of Psychological and Brain Sciences, University of Louisville, Louisville, Kentucky (Dr Stetson)
Diabetes Educ. 2011 Sep-Oct;37(5):638-57. doi: 10.1177/0145721711416256. Epub 2011 Aug 30.
The purpose of this study was to evaluate the effectiveness of diabetes self-management education or training provided by diabetes educators in reducing complications and improving quality of life.
Commercial and Medicare payer-derived claims data were used to assess the relationship between DSME/T and cost. Unlike the prior study that examined diabetes education provided by all professionals, the current study focused on the value of interventions performed as part of formal accredited/recognized diabetes education programs provided by diabetes educators only. Specifically, the current study focused on diabetes education delivered in diabetes self-management training programs based on 2 codes (G0108 and G0109).
Results of the study provide insights into the differences in trends between participants and nonparticipants in DSMT. People with diabetes who had DSMT encounters provided by diabetes educators in accredited/recognized programs are likely to show lower cost patterns when compared with a control group of people with diabetes without DSMT encounters. People with diabetes who have multiple episodes of DSMT are more likely to receive care in accordance with recommended guidelines and to comply with diabetes-related prescription regimens, resulting in lower costs and utilization trends. Conclusions and Policy Implications The collaboration between diabetes educators and patients continues to demonstrate positive clinical quality outcomes and cost savings. This analysis shows that repeated DSMT encounters over time result in a dose-response effect on positive outcomes.
本研究旨在评估糖尿病教育者提供的糖尿病自我管理教育或培训在减少并发症和提高生活质量方面的效果。
使用商业和医疗保险支付者的索赔数据评估 DSME/T 与成本之间的关系。与之前研究检查所有专业人员提供的糖尿病教育不同，本研究仅关注作为糖尿病教育者提供的正式认可/认可的糖尿病教育计划的一部分进行的干预的价值。具体而言，本研究侧重于基于两个代码（G0108 和 G0109）的糖尿病自我管理培训计划中提供的糖尿病教育。
研究结果深入了解了 DSMT 参与者和非参与者之间趋势的差异。与没有 DSMT 接触的糖尿病对照组相比，接受认可/认可计划中糖尿病教育者提供的 DSMT 接触的糖尿病患者可能表现出更低的成本模式。多次接受 DSMT 的糖尿病患者更有可能接受符合推荐指南的护理，并遵守与糖尿病相关的处方方案，从而降低成本和利用趋势。结论和政策意义糖尿病教育者和患者之间的合作继续显示出积极的临床质量结果和成本节约。这项分析表明，随着时间的推移，多次重复的 DSMT 接触会对积极的结果产生剂量反应效应。
