| Health care for persons with non-insulin-dependent diabetes mellitus. The German experience. | |
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MedLine Citation:
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PMID: 8554209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A structured treatment and education program for patients with non-insulin-dependent diabetes mellitus (NIDDM) who are not taking insulin was developed, evaluated, and implemented at the primary health care level throughout Germany. The program is based on the definition of individual and pragmatic therapeutic goals for each patient, primarily using nondrug treatment, which includes systematic glycosuria self-monitoring by the patients and four structured sessions of group education held in a general practitioner's office. After documentation of the program's efficacy in a randomized, controlled trial and several pilot projects, the program has been officially incorporated into the general German health care scheme and includes payment to practicing physicians for each patient treated. More than 12,500 primary health care physicians have participated in special 2-day postgraduate courses given by diabetologists; these courses are a precondition to participating in the program. As part of the primary health care scheme, the NIDDM program will be continuously monitored for quality control and efficiency. Currently, similar structured treatment and education programs targeted to primary health care physicians are being introduced for both insulin-treated NIDDM and arterial hypertension. |
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Authors:
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M Berger; V Jörgens; G Flatten |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Annals of internal medicine Volume: 124 ISSN: 0003-4819 ISO Abbreviation: Ann. Intern. Med. Publication Date: 1996 Jan |
Date Detail:
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Created Date: 1996-02-22 Completed Date: 1996-02-22 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0372351 Medline TA: Ann Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 153-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Metabolic Diseases and Nutrition (World Health Organization Collaborating Center for Diabetes), Heinrich-Heine University, Düsseldorf, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diabetes Mellitus, Type 2
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complications,
therapy* Education, Medical, Continuing Germany Humans Patient Education as Topic Primary Health Care / standards* Program Development Program Evaluation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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