HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Leichter, S. B. Articles by Moore, W. Search for Related Content PubMed Articles by Leichter, S. B. Articles by Moore, W. Social Bookmarking                What's this?

The Business of Hospital Care of Diabetic Patients: 2. A New Model for Inpatient Support Services

The first 300 words of the full text of this article appear below.

	Introduction

 
What is the ideal model for inpatient diabetes support services in the present environment? How should organizations and financial systems be structured for the educational, counseling, and other support services relevant to the self-care of diabetes?

At present, the only model that has official endorsement is the model for diabetes support services and education of the American Diabetes Association (ADA).1 As noted in the first article in this series,2 this model was designed for application in both the outpatient and inpatient environments. The changes that have occurred in the hospital care environment since the ADA Education Recognition Program (ERP) guidelines were originally designed in the early 1980s make this model inapplicable to today’s inpatient environment. At present, no other model is available to serve as a reference.

One problem is a lack of definition regarding the characteristics and needs of diabetic inpatients. Available studies demonstrate that diabetic inpatients are usually hospitalized for complications of diabetes or for problems unrelated to their diabetes.3 Only a minority of diabetic admissions are caused by problems with glycemic control. Nevertheless, all or most hospitalized diabetic patients may require or benefit from diabetes support services regardless of the cause of admission.4 If the admission is related to issues with diabetes self-care or to problems in maintaining self-care for other related medical problems, such as hypertension, the need for diabetes support services is more clearly defined.

Studies do suggest that patients who are admitted for issues involving glycemic control do represent a subpopulation that often requires the vigorous application of a variety of diabetes support services. The majority of these admissions are attributable to a minority of patients, who have repeated and multiple admissions for problems with diabetic crisis.5–7 Psychosocial, financial, and case management issues arise with these patients, . . . [Full Text of this Article]

	The Formation of a New Model at Columbus Regional Medical Center

 

	The Model

 

	Results

 

	Discussion

 

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				A. T. Nettles Patient Education in the Hospital Diabetes Spectr, January 1, 2005; 18(1): 44 - 48. [Abstract] [Full Text] [PDF]