The increasing prevalence of diabetes and prediabetes makes the cost of diabetes care a pressing concern. Nurses in all settings play a critical role in helping to reduce the cost of diabetes not only for individual patients but ultimately for the health care system. This article focuses on four main issues related to the economic impact of diabetes for patients and health systems: (1) overall estimates of the direct and indirect costs of diabetes and its associated complications, (2) the impact of cost on diabetes care and health outcomes, (3) the ways in which federal- and state-mandated insurance for persons with diabetes is being used to promote more cost-effective and high-quality diabetes care, and (4) the use of cost-effectiveness analysis to evaluate interventions designed to prevent diabetes or diabetes-related complications.

译文

:糖尿病和前驱糖尿病的患病率上升,使糖尿病护理的费用成为迫切关注的问题。在所有环境中,护士都在帮助降低糖尿病成本方面发挥着至关重要的作用,不仅可以降低单个患者的糖尿病成本,而且可以最终降低医疗保健系统的成本。本文关注与糖尿病对患者和卫生系统的经济影响有关的四个主要问题:(1)糖尿病及其相关并发症的直接和间接费用的总体估算,(2)费用对糖尿病护理和健康的影响结果,(3)使用联邦和州规定的糖尿病患者保险来促进更具成本效益和高质量的糖尿病护理的方式,以及(4)使用成本效益分析来评估干预措施旨在预防糖尿病或与糖尿病相关的并发症。

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