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Community
Preventive Services-
Diabetes-
Diabetes
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Diabetes
mellitus (diabetes) prevalence is high,
affecting an estimated 15.7 million persons
in the United States and climbing. Its cost
impact was estimated in 1997 at $98 billion
Recommendations
The Task Force on Community Preventive
Services makes the following recommendations
based on the strength of the evidence of
effectiveness found through the systematic
literature review process
Health Care
System Interventions
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Disease
management
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Strongly
Recommended
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- Disease
management is an organized,
proactive, multi-component
approach to health care delivery
involving all members of a
population with a specific disease
- Care
is focused on and integrated
across the entire disease and its
complications.
- The
goal is to improve short-term and
long-term health or economic
outcomes for the entire
population.
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Case
management
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Strongly
Recommended
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Case
management is a set of activities
where the needs of a population with
diabetes are addressed through
improved planning, coordination, and
provision of care
This
usually involves assigning authority
to one professional (the case manager)
who oversees and is responsible for
coordinating and implementing care
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Self-Management
Education
A summary
of these findings was published in the CDC MMWR
Reports and Recommendations series on
September 28, 2001. A more comprehensive
report, including detailed evidence reviews
will be published in a supplement to
American Journal of Preventive Medicine in
spring 2002.
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