| Autor: |
Whitehouse FW, Whitehouse IJ, Cox MS, Goldman J, Kahkonen DM, Partamian JO, Tamayo RC |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of chronic diseases [J Chronic Dis] 1983; Vol. 36 (6), pp. 433-8. |
| DOI: |
10.1016/0021-9681(83)90135-2 |
| Abstrakt: |
One hundred and six insulin-requiring diabetic patients were randomly recruited to a pilot out-patient diabetes regulation and self-care program. The program was designed to offer an alternative to hospitalization. 89 patients completed the 5-day program. Fasting plasma glucose values at 5 days were significantly lower than initial levels (263 +/- 73 mg/dl vs 156 +/- 60 mg/dl; p-value less than 0.001). Long-term diabetic control was similarly improved at 6 months after entry when total glycosylated hemoglobin levels were significantly lower than initial values (13.8 +/- 2.8% vs 11.1 +/- 2.4%; p-value less than 0.0005). 17 patients failed to complete the program. Only four patients of the 89 were subsequently hospitalized with diabetes-related conditions. 445 hospital days were saved during the study period with calculated total dollar savings over $90,000. It is suggested that a structured out-patient program for diabetes regulation and self-care can be successfully developed and carried out at a significantly lower cost than hospitalization. Third party payors should take cognizance of these programs and appropriately include them in their health care coverage. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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