Johns Hopkins Bloomberg School of Public Health, 605 N Wolfe St, Baltimore, MD, 21287, USA.
Johns Hopkins Community Physicians at Howard County General Hospital, 5755 Cedar Lane, Columbia, MD, 21044, USA.
Curr Diab Rep. 2021 Jan 15;21(2):5. doi: 10.1007/s11892-020-01374-0.
Diabetes is a leading metabolic disorder with a substantial cost burden, especially in inpatient settings. The complexity of inpatient glycemic management has led to the emergence of inpatient diabetes management service (IDMS), a multidisciplinary team approach to glycemic management.
To review recent literature on the financial and clinical impact of IDMS in hospital settings.
We searched PubMed using a combination of controlled vocabulary and keyword terms to describe the concept of IDMS and combined the search terms with a comparative effectiveness filter for costs and cost analysis developed by the National Library of Medicine.
In addition to several improved clinical endpoints such as glycemic management outcomes, IDMS implementation is associated with hospital cost savings through decreased length of stay, preventing hospital readmissions, hypoglycemia reduction, and optimizing resource allocation. There are other downstream potential cost savings in long-term patient health outcomes and avoidance of litigation related to suboptimal glycemic management.
IDMS may play an important role in helping both academic and community hospitals to improve the quality of diabetes care and reduce costs. Clinicians and policymakers can utilize existing literature to build a compelling business case for IDMS to hospital administrations and state legislatures in the era of value-based healthcare.
糖尿病是一种主要的代谢紊乱疾病，其医疗费用负担巨大，尤其是在住院环境中。由于住院患者血糖管理的复杂性，出现了多学科团队管理的住院糖尿病管理服务（IDMS）模式，以实现血糖管理。
回顾 IDMS 在医院环境中对财务和临床影响的最新文献。
我们使用 PubMed 搜索，结合了受控词汇和关键词来描述 IDMS 的概念，并将这些术语与美国国家医学图书馆开发的成本和成本分析的比较效果筛选器相结合。
除了血糖管理结果等一些改善的临床终点外，IDMS 的实施还通过缩短住院时间、预防医院再入院、减少低血糖和优化资源分配来实现医院成本节约。在长期患者健康结果和避免与血糖管理不佳相关的诉讼方面，还有其他潜在的下游成本节约。
IDMS 可能在帮助学术和社区医院提高糖尿病护理质量和降低成本方面发挥重要作用。在基于价值的医疗保健时代，临床医生和政策制定者可以利用现有文献，为 IDMS 向医院管理部门和州立法机构建立有说服力的商业案例。
