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“Cumbre Internacional para la educación del paciente con diabetes.”
“Diabetes Education: Argentina s experience”
Principal aim
• Share best practices for diabetes education in the international community.
2Dra. Ana Lia Cagide- ARGENTINA
Context
• Diabetes is a global epidemy and the need to integrate education of patients in clinical care plans is unavoidable
• In this session, diabetes education leaders share experiences that have been used to face the problem in their countries.
3Dra. Ana Lia Cagide- ARGENTINA
Diabetes education settings in Argentina
• Sociedad Argentina de Diabetes– Curso de Educadores en DM– Curso Anual de Enfermería– 7 Capítulos a lo largo y lo ancho de la Argentina
• Federación Argentina de Diabetes• Programas provinciales• INSSJyP Instituto Nacional de Servicios Sociales para
Jubilados y Pensionados– Programa HADOB (Hipertensión / Diabetes Obesidad)
• Master de Educadores en Diabetes (2 años)– Universidad de La Plata
4Dra. Ana Lia Cagide- ARGENTINA
El Sistema de Salud en la Argentina
www.SSS.org
OOSS Nac + Prov
50%
5Dra. Ana Lia Cagide- ARGENTINA
NINGUN SECTOR RECONOCE LA FIGURA DE EDUCADOR EN DIABETES
Marco Legal en Diabetes Mellitus
– Año 1998: Ley 23753: Ley del Diabético • 100 % cobertura en insulina e insumos para su
aplicación• 70 % de cobertura para medicación antidiabética y
tiras reactivas– 50 tiras / año enDM 2– 400 tiras / año en DM insulinotratada– - 800 tiras/año en DM 1 lábil
– Año 2004 PMO Prestación Médica Obligatoria • Cobertura del 70% en medicación para patología
crónica prevalente6Dra. Ana Lia Cagide- ARGENTINA
Diabetes educator interventions
PROCESS• Courses
– Scientific societies– Patient societies– Public and Private centers– Each physician at his office– Pharmaceutical Industry
• Provincial or District Programms
OBJECTIVES• Promotion of health• Prevention of Diabetes• Prevention/Treatment of
comorbities:– Obesity– Hypertension – Dyslipidemia
• Prevention of Complications– Macrovascular– Microvascular– Neuropathy
7Dra. Ana Lia Cagide- ARGENTINA
Diabetes education outcomes
• Computerized diabetes registries
• RESULTS – Obesity– A1c– Blood pressure– Cholesterol– Self
management• Nutrition• Adherence• Self
monitoring
– Quality of life– Hospitalizations– Disability– Death
8
Red de Docencia
Red delPrepago
Red de cadaEfector
Red de cadaEfector
Dra. Ana Lia Cagide- ARGENTINA
Diabetes Disease Management
9
Nurse case management
programs
Especialists and consultants
The family
The Institution
The physician in charge
Dra. Ana Lia Cagide- ARGENTINA
Payment structure for education
• Not financed by payers or policymakers.• A reduction in A1c will reduce costs and
therefore a real (and in short-mid term) return in investments.
• Financial incentives from diabetic clinical quality indicators– For the team– For the patient
• A Government compromise is mandatory!10Dra. Ana Lia Cagide- ARGENTINA
Bicentenario25 de mayo 1810 – 2010
11Dra. Ana Lia Cagide- ARGENTINA