Department of Internal Medicine "C", Shamir Medical Center, Zerifin, Israel.
Pesach Segal Israeli Center for Diabetes Research and Policy, Sheba Medical Center, Ramat Gan, Israel.
Isr J Health Policy Res. 2022 Aug 19;11(1):29. doi: 10.1186/s13584-022-00540-x.
The ever-increasing burden of diabetes and the limited resources highlight the need for prioritization of national action goals for diabetes management. The Israeli National Diabetes Council (INDC) initiated a prioritization process aiming to set a top list of diabetes related goals, as suggested by decision makers and health professionals.
A 2-step prioritization process, including a small (n = 32) circle of key opinion leaders of the INDC and a larger (n = 195) nationwide circle of diabetes health professionals consisting of physicians, nurses, and dieticians working in diabetes care centers, hospitals and family practice clinics, was established. An online questionnaire presenting 45 different action areas in diabetes prevention and care was distributed to the INDC members who ranked the 3 top diabetes priorities based on their individual interpretation of importance and applicability. The 7 highest ranking priorities were later presented to hospital-based and community diabetes health professionals. These professionals selected the 3 top priorities, based on their perceived importance.
Council members opted mostly for action areas regarding specific populations, such as clinics for adult type-1 diabetes patients, diabetic foot, and pediatric and adolescent patients, while the health professionals' top priorities were mostly in the general field of prevention, namely high-risk prediabetes population, prevention of obesity, and promotion of healthy life-style. In addition, priorities differed between hospital and community health professionals as well as between different professional groups.
A national prioritization process of action areas in diabetes prevention and care is attainable. The resulting item list is affected by professional considerations. These priorities may direct efforts in the implementation of interventions to improve national-level diabetes management.
糖尿病负担日益加重，而可用资源有限，这凸显出需要优先考虑国家糖尿病管理行动目标。以色列国家糖尿病理事会（INDC）启动了一项优先级排序流程，旨在根据决策者和卫生专业人员的建议，制定与糖尿病相关的目标的优先清单。
建立了一个两步式优先级排序流程，包括 INDC 的一个小（n=32）核心意见领袖圈子和一个更大（n=195）全国范围内的糖尿病卫生专业人员圈子，这些专业人员包括在糖尿病护理中心、医院和家庭诊所工作的医生、护士和营养师。一个在线问卷向 INDC 成员提出了 45 个不同的糖尿病预防和护理行动领域，他们根据自己对重要性和适用性的个人解释对 3 个最重要的糖尿病优先事项进行排名。随后，这 7 个排名最高的优先事项被提交给基于医院的和社区的糖尿病卫生专业人员。这些专业人员根据他们认为的重要性选择了 3 个最重要的优先事项。
理事会成员主要选择了针对特定人群的行动领域，如成人 1 型糖尿病患者诊所、糖尿病足以及儿科和青少年患者，而卫生专业人员的首要优先事项主要集中在预防的一般领域，即高危糖尿病前期人群、肥胖预防和促进健康的生活方式。此外，医院和社区卫生专业人员之间以及不同专业群体之间的优先事项也存在差异。
可以进行国家糖尿病预防和护理行动领域的优先级排序流程。由此产生的项目清单受到专业考虑的影响。这些优先事项可能会指导努力实施干预措施，以改善国家层面的糖尿病管理。
