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与糖尿病教育相关的投入与产出 Costs and Benefits Associated With Diabetes Education
2011/6/27   双语园地 
From Health Services Research and Development, Harry S. Truman Memorial Veterans’ Hospital, Columbia, Missouri (Dr Boren); Department of Health Management an Informatics, University of Missouri, Columbia, Missouri (Dr Boren, Ms Panhalkar); and American Association of Diabetes Educators, Chicago, Illinois (Dr Fitzner, Mr Specker).
 
Correspondence to Karen Fitzner, PhD, Chief Science and Practice Officer, American Association of Diabetes Educators, 200 W. Madison St, Suite 800, Chicago, IL 60606 (kfitzner@aadenet.org).
 
Purpose
The purpose of this article was to review the published literature and evaluate the economic benefits and costs associated with diabetes education.
 
目的
本文的目的是回顾现有的文献资料,评估与糖尿病教育相关的经济上的产出与投入。
 
Methods
The Medline database (1991-2006) and Google were searched. Articles that addressed the economic and/or financial outcomes of a diabetes-related self-care or educational intervention were included. The study aim, population, design, intervention, financial and economic outcomes, results, and conclusions were extracted from eligible articles.
 
方法
    通过美国联机医学文献分析和检索系统(1991-2006)和谷歌进行搜索。主要包括侧重于经济和/或糖尿病相关的自我管理或者教育干预的经济收益。本研究的方向、人群、设计、干预、资金和经济收益、结果以及结论都来自于合格的文献资料。
 
Results
Twenty-six papers were identified that addressed diabetes self-management training and education. Study designs included meta-analysis (1); randomized controlled trials (8); prospective, quasi-experimental, and pre-post studies (8); and retrospective database analyses (9). The studies conducted cost analyses (6), cost-effectiveness analyses (13), cost-utilization analyses (7), and number needed to treat analyses (2). More than half (18) of the 26 papers identified by the literature review reported findings that associated diabetes education (and disease management) with decreased cost, cost saving, cost-effectiveness, or positive return on investment. Four studies reported neutral results, 1 study found that costs increased, and 3 studies did not fit into these categories.
 
结果
    所有的文献资料中,确定了26份研究资料侧重点在于糖尿病的自我管理培训及教育。研究设计包括meta分析(1),随机对照实验(8),预实验、前后对照研究(8),以及回顾性资料分析(9)。研究进行了投入分析(6)、成本效益分析(13)、成本效用分析(7)、以及所需数额处理分析。通过对文献的回顾性分析,26份文献中,超过半数(18)的报道糖尿病教育(以及糖尿病管理)与削减费用、简省费用、成本效用度、或者投资的良好回报有相关性。4个研究报道的是中性结果,1个研究发现成本增高,还有3个研究没有从项目中得到收益。
 
Conclusions
The findings indicate that the benefits associated with education on self-management and lifestyle modification for people with diabetes are positive and outweigh the costs associated with the intervention. More research is needed to validate that diabetes education provided by diabetes educators is cost-effective.
 
结论
    与糖尿病自我管理教育和生活方式的改变相关的收益是积极的,在价值上超过干预所需的费用。更多的研究用来巩固由糖尿病教育者提供的相关教育,这是具有成本效能度的。
 
The Diabetes Educator 2009 35; 72
DOI: 10.1177/0145721708326774
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