PharmacoEconomics

, Volume 8, Supplement 1, pp 68–71

Cost-Effectiveness of Diabetes Education

  • Jean-Philippe Assal
Article

Summary

The costs of long term complications of diabetes to both patients and the community are considerable. However, amputation of the lower limb is an example of a costly intervention that is often preventable in patients educated to take at least partial responsibility for the management of their condition. Aside from the obvious improvement in patients’ quality of life that preventive medicine of this kind entails, reductions in the amputation rate also lead to large cost savings.

Unfortunately, many patients are denied adequate education about their diabetes. This is partly due to lack of educational programmes for patients and partly the result of inadequate educational methodologies used by healthcare providers. Without major investments in patient education by healthcare policymakers and administrators, however, substantial improvements in the delivery of health education to the diabetic population are unlikely, and the opportunities for making important cost savings in this area will continue to be forgone.

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References

  1. 1.
    Lacroix A. Diabetes mellitus: the different costs to the patient. Patient Education 2000. International Congress on Treatment of Chronic Diseases, Geneva, Switzerland. Jun 1–4, 1994Google Scholar
  2. 2.
    Klein R, Klein BEK, Moss SE. The epidemiology of ocular problems in diabetes mellitus. In: Feman SS, editor. Ocular problems in diabetes mellitus. Boston; Blackwell, 1992Google Scholar
  3. 3.
    Fabre J, Balant LP, Dayer PG, et al. The kidney in maturity onset diabetes mellitus: a clinical study of 510 patients. Kidney Int 1982; 21: 730–8PubMedCrossRefGoogle Scholar
  4. 4.
    Gall MA, Rossing P, Skøtt P, et al. Prevalence of micro and macroalbuminuria, arterial hypertension, retinopathy and large vessel disease in European type 2 (non-insulin-dependent) diabetic patients. Diabetologia 1991; 34: 655–61PubMedCrossRefGoogle Scholar
  5. 5.
    Young MJ, Boulton AJM, McCloud AF, et al. A multi-centre study of the prevalence of diabetic peripheral neuropathy in a United Kingdom hospital population. Diabetologia 1993; 36: 150–4PubMedCrossRefGoogle Scholar
  6. 6.
    Walter DA, Gatling W, Mullee MA, et al. The prevalence of diabetic distal sensory neuropathy in the English community. Diabetic Med 1992; 9: 249–53Google Scholar
  7. 7.
    Assal J-Ph. Healthy feet in diabetes. World Health Magazine 1991; May-June: 13–15Google Scholar
  8. 8.
    Bartlett EE. Cost-benefit analysis of patient education. Patient Educ Couns 1995; 26: 87–91PubMedCrossRefGoogle Scholar
  9. 9.
    Bartlett E, Assal J-Ph. Éducation du malade: rapport coût-bénéfice et coût-efficacité. In: Assal J-Ph. Golay A, editors. Leçons a tirer de l’éducation du patient. Patient Education 2000, International Congress on Treatment of Chronic Diseases; 1994 June; Geneva: 37–42Google Scholar
  10. 10.
    Davidson JK. Clinical diabetes mellitus. Stuttgart: Thieme, 1991Google Scholar
  11. 11.
    Davidson JK. The Grady Memorial Hospital Diabetes Unit Ambulatory Care Program. In: Assal J-Ph, et al., editors. Diabetes education: how to improve patient education. Amsterdam: Excerpta Medica, 1983: 286–97Google Scholar
  12. 12.
    Miller LV, Goldstein BA. More efficient care of diabetic patients in a county hospital setting. New Engl J Med 1972; 286: 1388–91PubMedCrossRefGoogle Scholar
  13. 13.
    Neresian W. Impact of diabetes outpatient education — Maine. MMWR Morb Mortal Wkly Rep 1982; 31: 307–13Google Scholar
  14. 14.
    Assal J-Ph, Albeanu A, Peter-Riesch B, et al. Cout de la formation du patient atteint d’un diabète sucré. Effets sur la prevention des amputations. Diabete Metab 1993; 19: 491–5PubMedGoogle Scholar
  15. 15.
    Diabetes mellitus in Europe: a problem at all ages in all countries. A model for prevention and self-care. The Saint Vincent Declaration issued by WHO and IDF Europe on diabetes care and research in Europe. Saint Vincent (Aosta), Italy, Oct 10–12,1989. G Ital Diabetol 1990; 10 Suppl.: 143Google Scholar

Copyright information

© Adis International Limited 1995

Authors and Affiliations

  • Jean-Philippe Assal
    • 1
  1. 1.Division of Therapeutic Education for Chronic Diseases, Department of Medicine, Faculty of MedicineUniversity HospitalGeneva 14Switzerland
  2. 2.Division of Therapeutic Education for Chronic Diseases, Faculty of MedicineUniversity of Geneva, WHO Collaborating Centre, 3HLGeneva 14Switzerland

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