Rodriguez Kellie, Ryan Donna, Dickinson Jane K, Phan Victor
Parkland Health, Dallas, TX.
Ascension Florida Gulf Coast Ministry, Pensacola, FL.
Clin Diabetes. 2022 Summer;40(3):356-365. doi: 10.2337/cd21-0089.
Given the growing prevalence and accelerating cost of diabetes, there is an urgent need to expand strategies in health care that improve access and outcomes and reduce the financial and human burden of the disease. Diabetes care and education specialists (DCESs) are well positioned to assist health care systems with delivery models that enhance diabetes care through evidence-based standards and quality improvement strategies. DCESs have increased opportunities to apply their competencies in primary, specialty, hospital, and acute care settings; accountable care organizations; community settings; research; and academia. Two national certification programs provide an evidence-based foundation for quality in the specialty, with updated competencies guiding practice. This article serves as a call to action for health care systems to integrate specialists in diabetes care and education into diabetes care delivery models and raise awareness of the positive impact these professionals have on the lives of people with diabetes.
鉴于糖尿病的患病率不断上升且成本加速增长，迫切需要拓展医疗保健策略，以改善医疗服务可及性和治疗效果，并减轻该疾病的经济和人力负担。糖尿病护理与教育专家（DCESs）具备良好条件，可通过基于循证标准和质量改进策略的交付模式，协助医疗保健系统提升糖尿病护理水平。DCESs在初级、专科、医院和急症护理环境、责任医疗组织、社区环境、研究及学术界等领域应用其专业能力的机会不断增加。两项国家级认证计划为该专业的质量提供了循证基础，更新后的专业能力指导着实践。本文呼吁医疗保健系统将糖尿病护理与教育专家纳入糖尿病护理交付模式，并提高对这些专业人员对糖尿病患者生活所产生积极影响的认识。
