Changing office practice and health care systems to facilitate diabetes self-management.
Changing office practice and health care systems to facilitate diabetes self-management.
复制标题
DOI：
10.1007/s11892-003-0036-7
复制
发表时间：
2003-04-01
影响因子：
4.2
通讯作者：
Anderson, Robert M
中科院分区：
文献类型：
--
作者：
Funnell, Martha M;Anderson, Robert M
糖尿病是一种自我管理的疾病，99%的患者自己提供护理。对于成功的糖尿病自我管理者来说，他们需要办公室实践和医疗保健系统，这些系统可以为他们长期的糖尿病自我管理工作做好准备并提供支持。为了提供有效的糖尿病教育和持续的支持，办公室实践和医疗保健系统将不得不从根本上重新定义卫生专业人员和糖尿病患者的角色，并重新设计实践和系统，以实现有效的长期自我管理教育和支持。虽然人和系统都很难改变，但如果我们要为大多数患有这种严重慢性病的患者提供自我管理支持，改变是必不可少的。
Diabetes is a self-managed disease for which patients provide 99% of their own care. For patients to succeed as diabetes self-managers, they need office practices and health care systems that can prepare and support them in their diabetes self-management efforts over the long term. In order to provide effective diabetes education and ongoing support, office practices and health care systems will have to fundamentally redefine the roles of health professionals and patients with diabetes, and redesign practices and systems to allow for effective long-term self-management education and support. Although it is difficult for both people and systems to change, change is essential if we are going to provide self-management support for the majority of patients suffering from this serious chronic disease.