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首页> 外文期刊>Journal of public health management and practice: JPHMP >Capacity of diabetes education programs to provide both diabetes self-management education and to implement diabetes prevention services.
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Capacity of diabetes education programs to provide both diabetes self-management education and to implement diabetes prevention services.

机译：糖尿病教育计划提供糖尿病自我管理教育和实施糖尿病预防服务的能力。

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OBJECTIVE: The purpose of this study was to assess the capacity of diabetes self-management education (DSME) programs in urban and rural counties to provide services to patients with diagnosed diabetes, lifestyle services to persons at high risk for developing diabetes, and to assess the potential barriers to providing diabetes prevention services. METHODS: In 2009, the Montana Department of Public Health and Human Services conducted an Internet-based survey of all DSME programs in Montana. RESULTS: Thirty of the 39 (77%) DSME programs completed the survey. Seventy-seven percent of the urban programs and 50% of the rural programs reported a capacity to provide DSME to additional patients with diagnosed diabetes. More than 70% of the urban and the rural programs currently provide lifestyle services to patients with abnormal glucose tolerance but without diabetes. Eighty-four percent of the urban programs and 60% of the rural programs reported a capacity to provide lifestyle services to additional persons at high risk for diabetes. Eighty-five percent of the urban programs and 58% of the rural programs have already implemented or intend to implement a lifestyle intervention service consistent with the Diabetes Prevention Program. Overall, the most frequently reported barriers to implementing a diabetes prevention services were lack of reimbursement (80%) and the lack of staff to provide the service (60%). CONCLUSION: Urban and rural DSME programs in Montana have the capacity to implement both DSME for patients with diagnosed diabetes and diabetes prevention lifestyle services to additional people at high risk for diabetes. Reimbursement for diabetes prevention services is critical to ensure program development and implementation.
机译：目的：本研究的目的是评估城乡县糖尿病自我管理教育（DSME）计划为诊断患有糖尿病的患者提供服务，向罹患糖尿病的高风险人群提供生活方式服务的能力，并评估提供糖尿病预防服务的潜在障碍。方法：2009年，蒙大拿州公共卫生与公共服务部对蒙大拿州的所有DSME计划进行了基于互联网的调查。结果：39个DSME程序中有30个（77％）完成了调查。据报告，有77％的城市计划和50％的农村计划有能力向其他诊断为糖尿病的患者提供DSME。目前，超过70％的城市和农村计划为异常糖耐量但没有糖尿病的患者提供生活方式服务。据报告，有84％的城市计划和60％的农村计划有能力向其他高危人群提供生活方式服务。 85％的城市计划和58％的农村计划已经实施或打算实施与糖尿病预防计划一致的生活方式干预服务。总体而言，最常报告的实施糖尿病预防服务的障碍是缺乏报销（80％）和缺乏提供服务的人员（60％）。结论：蒙大拿州的城市和农村DSME计划有能力为诊断为糖尿病的患者实施DSME，并为更多的糖尿病高危人群提供预防糖尿病的生活方式服务。糖尿病预防服务的报销对于确保计划的制定和实施至关重要。

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