Organization and regional distribution of centers for the management of children and adolescents with diabetes in Italy.
Organization and regional distribution of centers for the management of children and adolescents with diabetes in Italy.
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DOI：
10.1186/s13052-015-0179-6
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发表时间：
2015-10-08
影响因子：
3.6
通讯作者：
Study Group for Diabetes of ISPED
中科院分区：
文献类型：
--
作者：
Giorgetti C;Ferrito L;Zallocco F;Iannilli A;Cherubini V;Study Group for Diabetes of ISPED
儿童1型糖尿病的发病率以每年3%的速度增长，对医疗保健专业人员和医疗支出的需求不断增加。本研究的目的是评估意大利对糖尿病儿童的护理组织。2012年期间，向意大利儿科内分泌和糖尿病学会（ISPED）的所有成员发送了一份结构化问卷。问题审查了中心的组织结构、专门照顾糖尿病儿童的人员、跟踪的对象数量、地方法律立法支助中心。共有68个中心照顾15,563名18岁以下患有糖尿病的儿童和青少年，确定患病率为每1,000人中有1.4人。还报告说，组织背景差别很大。44个中心为门诊部，17个为简单单位，5个为复杂单位，2个为简单部门结构。大多数中心都有一个多学科团队。意大利20个大区中有10个实行了支持性的区域立法，但只有其中6个得到充分实施。各地区在组织结构、人员编制和支持性立法方面存在很大差异。全国各地广泛实施了关于糖尿病的国家立法。需要进一步努力提高意大利儿童糖尿病护理的标准和一致性。
The incidence of type 1 diabetes in childhood is increasing by 3 % per year, placing growing demands on healthcare professionals and medical expenditures. Aim of this study wars to assess the organization of care to children with diabetes in Italy. During 2012 a structured questionnaire was sent to all of the members of Italian Society of Paediatric Endocrinology and Diabetology (ISPED). Questions examined organizational structure of Centers, personnel dedicated to the care of children with diabetes, number of subjects followed, local legal legislation supporting centres. A total of 68 centers taking care to 15,563 children and adolescents with diabetes under 18 years of age were identified with a prevalence of 1.4 per 1,000 people. A wide variation in the organizational background was also reported. Fourty-four centers were organized as outpatient departments, 17 as simple units, 5 as complex units and 2 as simple departmental structures. Most centers had a multidisciplinary team. Ten out of twenty Italian regions had introduced supportive regional legislation, but it was fully applied only in six of them. Great differences between regions were found in organizational structures, staffing levels and supportive legislation. The national legislation on diabetes was broadly implemented throughout the country regions. Further efforts are needed to improve standards and consistency of pediatric diabetes care in Italy.