Hum Nutr Appl Nutr. 1987 Feb;41(1):13-22.
Data on dietetic services to the diabetic in the United Kingdom was sought from dietitians and doctors, from Regional Health Authorities, from patients through local branches of the British Diabetic Association, and by detailed examination of dietitian's work loads in some districts. Considerable deficiencies are demonstrated in the provision of dietetic care and education to the diabetic in the country. A minimum provision for direct diabetic care and education of 15 hours of dietetic time per 100,000 of population per week is required. The data collected indicates that diabetes occupies some 25 per cent of total dietetic time in any one district. Individual district and unit managers should ensure that adequate numbers of WTE are available to offer this continuing commitment. Difficulties may arise in allocating exclusive responsibility for diabetic dietary education to any one individual. However, in any one district, one senior dietitian could be allocated the task of co-ordinating diabetes education and ensuring that all members of the dietetic staff and the diabetic team are kept up to date with all dietary developments. It is of considerable concern that some districts have no diabetic dietetic service or a very rudimentary one. It is of concern that even in districts provided with dietetic cover, the provision may vary by two- to three-fold.
我们从营养师、医生、地区卫生当局获取了关于英国糖尿病患者饮食服务的数据，通过英国糖尿病协会的地方分支机构向患者收集数据，并详细检查了一些地区营养师的工作量。结果表明，该国在为糖尿病患者提供饮食护理和教育方面存在相当大的不足。每周每10万人口至少需要15小时的营养师直接护理和教育时间。收集到的数据表明，在任何一个地区，糖尿病患者占用的饮食护理时间约为总时间的25%。各个地区和单位的管理人员应确保有足够数量的全时等效人员来提供这种持续的服务。将糖尿病饮食教育的唯一责任分配给任何一个人可能会出现困难。然而，在任何一个地区，可以指定一名高级营养师负责协调糖尿病教育，并确保饮食工作人员和糖尿病治疗团队的所有成员都能及时了解所有饮食方面的进展。令人极为担忧的是，一些地区没有糖尿病饮食服务或只有非常基础的服务。同样令人担忧的是，即使在提供饮食服务的地区，服务水平也可能相差两到三倍。
