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Background and rationale for the Society of Behavioral Medicine’s position statement: expand United States health plan coverage for diabetes self-management education and support

  • Practice and Public Health Policies
  • Published:
Translational Behavioral Medicine

Abstract

The Society of Behavioral Medicine (SBM) recognizes that diabetes self-management (DSM) education and support are fundamental to teaching people how to manage their diabetes and decrease disease-related complications. Implementation of the Patient Protection and Affordable Care Act provides an opportunity to expand DSM education and support to many people who are currently excluded from such services due to lack of insurance coverage, current policy barriers, or simple failure of healthcare systems to provide them. Extending the range and provision of such services could translate into reduced diabetic complications, a reduction in unnecessary healthcare utilization, and significant health-related cost savings on a national level. SBM recommends that public and private insurers be required to reimburse for 12 h of DSM education and support annually for anyone with diabetes. Further, SBM recognizes that a range of modes and providers of DSM education and support have been shown effective, and that patient preferences and resources may influence choice. To address this, SBM urges health organizations to increase and diversify approaches toward DSM education and support they offer.

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Notes

  1. http://www.sbm.org/UserFiles/file/diabetes-brief_statement_short.pdf

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Acknowledgments

This manuscript was supported by the National Institute of Diabetes and Digestive and Kidney Diseases award number R01DK091347 (Sharp and Gerber). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health and policy of the Department of Veterans Affairs or the United States government. The authors wish to gratefully acknowledge the expert review provided by the Society of Behavioral Medicine’s Health Policy Committee.

Conflict of interest

Lisa Sharp and Ben Gerber declare that they have no conflict of interest. Ed Fisher is supported by Peers for Progress, a program of the American Academy of Family Physicians Foundation that promotes peer support in health care and prevention, including diabetes self management support and education.

ADHERENCE TO ETHICAL STANDARDS

All procedures were conducted in accordance with ethical standards.

Author information

Authors and Affiliations

  1. Department of Pharmacy Systems, Outcomes, and Policy, College of Pharmacy, University of Illinois at Chicago, Chicago, IL, USA

    Lisa K. Sharp PhD

  2. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Edwin B. Fisher PhD

  3. Section of Health Promotion Research, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA

    Ben S. Gerber MD, MPH

Authors
  1. Lisa K. Sharp PhD
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  2. Edwin B. Fisher PhD
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  3. Ben S. Gerber MD, MPH
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Corresponding author

Correspondence to Lisa K. Sharp PhD.

Additional information

Implications

Practice: increased provision of DSM education and support can improve diabetes outcomes when provided in a consistent and effective manner to patients with diabetes.

Policy: SBM proposes that federal legislation require changes to reimbursement for DSM education and support that will increase the availability of services for everyone with diabetes.

Research: research is needed to understand how to individualize content and delivery of DSM education and/or support to meet patients’ unique needs (i.e., literacy, knowledge, resources).

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Sharp, L.K., Fisher, E.B. & Gerber, B.S. Background and rationale for the Society of Behavioral Medicine’s position statement: expand United States health plan coverage for diabetes self-management education and support. Behav. Med. Pract. Policy Res. 5, 354–356 (2015). https://doi.org/10.1007/s13142-015-0328-x

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  • DOI: https://doi.org/10.1007/s13142-015-0328-x

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