Cumbre Internacional para la educacin del paciente con diabetes.

Diabetes Education: Argentina s experience

Principal aim
Share best practices for diabetes education in the international community.

Dra. 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.

Dra. Ana Lia Cagide- ARGENTINA

Diabetes education settings in Argentina

Sociedad Argentina de Diabetes Curso de Educadores en DM Curso Anual de Enfermera 7 Captulos a lo largo y lo ancho de la Argentina Federacin Argentina de Diabetes Programas provinciales INSSJyP Instituto Nacional de Servicios Sociales para Jubilados y Pensionados Programa HADOB (Hipertensin / Diabetes Obesidad) Master de Educadores en Diabetes (2 aos) Universidad de La Plata
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El Sistema de Salud en la Argentina

OOSS Nac + Prov

50%

NINGUN SECTOR RECONOCE LA FIGURA DE EDUCADOR EN DIABETES

www.SSS.org
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Marco Legal en Diabetes Mellitus

Ao 1998: Ley 23753: Ley del Diabtico 100 % cobertura en insulina e insumos para su aplicacin 70 % de cobertura para medicacin antidiabtica y tiras reactivas
50 tiras / ao enDM 2 400 tiras / ao en DM insulinotratada - 800 tiras/ao en DM 1 lbil

Ao 2004 PMO Prestacin Mdica Obligatoria Cobertura del 70% en medicacin para patologa crnica prevalente
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Diabetes educator interventions

PROCESS Courses
Scientific societies Patient societies Public and Private centers Each physician at his office Pharmaceutical Industry

OBJECTIVES Promotion of health Prevention of Diabetes Prevention/Treatment of comorbities:

Obesity Hypertension Dyslipidemia

Provincial or District Programms

Prevention of Complications
Macrovascular Microvascular Neuropathy
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Diabetes education outcomes

Computerized diabetes registries
Red de cada Efector

RESULTS
Obesity A1c Blood pressure Cholesterol Self management Nutrition Adherence Self monitoring
Quality of life Hospitalizations Disability Death

Red del Prepago

Red de Docencia

Red de cada Efector

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Diabetes Disease Management

The Institution

Especialists and consultants

The family Nurse case management programs

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!

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Bicentenario 25 de mayo 1810 2010

Dra. Ana Lia Cagide- ARGENTINA

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