Sharp Lisa K, Fisher Edwin B, Gerber Ben S
Department of Pharmacy Systems, Outcomes, and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, IL USA.
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC USA.
Transl Behav Med. 2015 Sep;5(3):354-6. doi: 10.1007/s13142-015-0328-x.
The Society of Behavioral Medicine (SBM) recognizes that diabetes self-management (DSM) education and support are fundamental to teaching people how to manage their diabetes and decrease disease-related complications. Implementation of the Patient Protection and Affordable Care Act provides an opportunity to expand DSM education and support to many people who are currently excluded from such services due to lack of insurance coverage, current policy barriers, or simple failure of healthcare systems to provide them. Extending the range and provision of such services could translate into reduced diabetic complications, a reduction in unnecessary healthcare utilization, and significant health-related cost savings on a national level. SBM recommends that public and private insurers be required to reimburse for 12 h of DSM education and support annually for anyone with diabetes. Further, SBM recognizes that a range of modes and providers of DSM education and support have been shown effective, and that patient preferences and resources may influence choice. To address this, SBM urges health organizations to increase and diversify approaches toward DSM education and support they offer.
行为医学协会(SBM)认识到糖尿病自我管理(DSM)教育与支持对于教导人们如何管理自身糖尿病及减少疾病相关并发症至关重要。《患者保护与平价医疗法案》的实施为将DSM教育与支持扩展至许多目前因缺乏保险覆盖、现行政策障碍或医疗系统单纯未能提供此类服务而被排除在外的人群提供了契机。扩大此类服务的范围并提供服务可能会转化为糖尿病并发症的减少、不必要医疗利用的降低以及国家层面与健康相关的显著成本节约。SBM建议要求公共和私人保险公司每年为任何糖尿病患者报销12小时的DSM教育与支持费用。此外,SBM认识到一系列DSM教育与支持的模式和提供者已被证明是有效的,并且患者的偏好和资源可能会影响选择。为解决这一问题,SBM敦促卫生组织增加并使其提供的DSM教育与支持方法多样化。