胰岛素泵治疗介绍__培训课件.ppt

这张幻灯是医疗费用部分的开始。 This is the study that was done by a friend of mine, Philip Boulter. Philip studied endocrinology at Harvard University, and is the head of medical care plan called Tufts Health Care. Tufts covers people in the United States, New England area, Boston, Massachusetts, New England. What he showed is that even people with diabetes, 3% of the people with diabetes who cost the health plan 47% of all the money that is spent, that cost is not in strips, it’s not in technology, it’s not in devices – 70% of that cost is based on these people going into the hospital with the end-disease complications of diabetes or the short-term complications, the acute lowering of blood sugar that causes them to go into the hospital as well. 这项研究是由Philip Boulter完成的. 他的研究显示出,只有3%的人患糖尿病,却占用了医疗费用支出的47%.这些费用不是指买试纸,买血糖仪或买笔等的花费—70%的花费是用在病人因为晚期并发症或短期并发症而住院治疗.同样,急性的血糖降低也会导致病人的住院治疗. So, what’s the reality? Everyone says pumps are nice, and yes they give me more added capability, but do you know something? They actually cost more. Well, what does it cost if you don’t have a pump? This data is from Thamer, and if you look at the cost of having hypoglycemia, you’re looking at an actual expenditure of $7,000 to $9,000 more per year for that patient. At the cost of pumps, let’s say $4,000 or $5,000, that pays for two pumps just by eliminating hypoglycemia. What about if you don’t lower hemoglobin A1c? If you go on dialysis, the cost in California is $53,000 per year. That buys at least 10 pumps. We had a 20% incidence of patients developing microvascular disease and complications such as blindness, renal disease, and lower limb amputation. 第一张幻灯片说明了较差血糖控制水平需要的健康计划费用。它说明血糖控制和卫生保健费用是紧密联系在一起的。这有助于我们了解胰岛素泵除了能帮助病人降低HbA1c外，还能帮助病人减少卫生保健费用。 幻灯片2， CSII 减少了需要住院 的 DKA 发作及相关的医疗费用。你可以使用这张幻灯来说明患者总体的医疗费用，尤其是青少年的费用。你们可以看到，一些ACP在青少年中进行胰岛素泵治疗的研究，尽管此项研究只有四名青少年参加，但在使用胰岛素泵一年后，她们的HbA1c基本下降，去医院就诊次数和医疗费用也显著减少。 幻灯片3， CSII 与住院次数以及看医生次数的减少相关。超过十七年的研究表明，使用胰岛素泵与MDI相比可以显著减少住院以及门诊的次数。这三张幻灯片可以帮助使用胰岛素泵的病