Bernstein L H, Hankwitz P E, Portnow J
University of Connecticut School of Medicine, Storrs.
Clin Geriatr Med. 1990 Nov;6(4):943-57.
As the anticipated growth of sophisticated diabetic services continues to accelerated in homes across America, physicians must first be educated as to the potentially unlimited spectrum of diabetic home care products and services that will become increasingly available to the patients whom they serve. Second, much research must be completed to critically examine the safety, quality, and cost issues of diabetic home care, to provide the necessary data to assure that home care services will be neither under- or over-utilized and will meet the necessary acute and long-term health care needs of our diabetic patients. Third, physicians must take a leadership role in examining the pitfalls of our existing expensive and often fragmented acute care-oriented health care model, which has not effectively addressed the increasing costs and incidence of chronic diseases, such as diabetes, in our society. With computerization and the explosive mobilization of high-technology health care products and services, we are witnessing an exponential growth in the list of services available in the home setting for diabetic patients. There has never been a time in the history of medicine that we, as physicians, have needed to create new, innovative, high-quality approaches to necessary, accessible, and cost-effective alternative health care delivery systems as is the case now. I believe that the renewal of home care, with physician vision, direction, and review, will be a major step toward the highest-quality medical care provided to our diabetic patients at home.
随着美国各地家庭中复杂糖尿病服务的预期增长持续加速，医生首先必须接受教育，了解糖尿病家庭护理产品和服务潜在的无限范围，这些产品和服务将越来越多地提供给他们所服务的患者。其次，必须完成大量研究，严格审查糖尿病家庭护理的安全性、质量和成本问题，以提供必要数据，确保家庭护理服务既不会使用不足也不会使用过度，并能满足糖尿病患者必要的急性和长期医疗保健需求。第三，医生必须发挥领导作用，审视我们现有的以急性护理为导向的昂贵且往往零散的医疗保健模式的缺陷，这种模式未能有效应对我们社会中糖尿病等慢性病不断增加的成本和发病率。随着计算机化以及高科技医疗保健产品和服务的迅猛普及，我们看到糖尿病患者家庭可获得的服务种类呈指数级增长。在医学史上，我们作为医生，从未像现在这样需要为必要、可及且具有成本效益的替代医疗保健提供系统创造新的、创新的、高质量的方法。我相信，在医生的愿景、指导和审查下，家庭护理的复兴将是朝着为我们的糖尿病患者在家中提供最高质量医疗保健迈出的重要一步。
