By the most recent estimates, 30.3 million people in the U.S. have diabetes. An estimated 23.1 million have been diagnosed with diabetes and 7.2 million are believed to be living with undiagnosed diabetes. At the same time, 84.1 million people are at increased risk for type 2 diabetes. Thus, more than 114 million Americans are at risk for developing the devastating complications of diabetes (1). Diabetes self-management education and support (DSMES) is a critical element of care for all people with diabetes. DSMES is the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care, as well as activities that assist a person in implementing and sustaining the behaviors needed to manage his or her condition on an ongoing basis, beyond or outside of formal self-management training. In previous National Standards for Diabetes Self-Management Education and Support (Standards), DSMS and DSME were defined separately, but these Standards aim to reflect the value of ongoing support and multiple services. The Standards define timely, evidence-based, quality DSMES services that meet or exceed the Medicare diabetes self-management training (DSMT) regulations, however, these Standards do not guarantee reimbursement. These Standards provide evidence for all diabetes self-management education providers including those that do not plan to seek reimbursement for DSMES. The current Standards’ evidence clearly identifies the need to provide person-centered services that embrace the ever-increasing technological engagement platforms and systems. The hope is that payers will view these Standards as a tool for reviewing DSMES reimbursement requirements and consider change to align with the way their beneficiaries’ engagement preferences have evolved. Research confirms that less than 5% of Medicare beneficiaries utilize their DSMES benefits (2,3). Changes in reimbursement policies stand to increase DSMES access and utilization, which will result in positive impact to beneficiaries’ clinical outcomes, quality of …

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2017年糖尿病自我管理教育和支持国家标准

根据最新估计，美国有3,030万人患有糖尿病。估计有2310万人被诊断出患有糖尿病，并且有720万人被认为患有未诊断出的糖尿病。同时，8410万人罹患2型糖尿病的风险增加。因此，有超过1.14亿美国人面临罹患毁灭性糖尿病的危险（1）。糖尿病自我管理教育和支持（DSMES）是所有糖尿病患者护理的关键要素。DSMES是持续进行的过程，可促进糖尿病自我护理所需的知识，技能和能力，以及有助于人们实施和维持管理其自身或外部状况所需的行为的活动。正式的自我管理培训。在先前的《糖尿病自我管理教育和支持国家标准》（标准）中，DSMS和DSME分别定义，但这些标准旨在反映持续支持和多种服务的价值。这些标准定义了及时的，循证的，高质量的DSMES服务，这些服务达到或超过了Medicare糖尿病自我管理培训（DSMT）法规，但是，这些标准不能保证报销。这些标准为所有糖尿病自我管理教育提供者提供了证据，包括那些不打算寻求DSMES报销的提供者。当前标准的证据清楚地表明需要提供以人为本的服务，其中包括不断增长的技术参与平台和系统。希望付款人将这些标准视为审查DSMES报销要求的工具，并考虑进行更改，以使其受益人的参与偏好有所变化。研究证实，只有不到5％的Medicare受益人使用了他们的DSMES福利（2,3）。报销政策的变化势必会增加DSMES的获取和利用，这将对受益人的临床结果，…的质量产生积极影响。