Chapter 33. Delivering Care to the Population: A Commentary

  1. R. Williams2,
  2. W. Herman3,
  3. A.-L. Kinmonth5 and
  4. N. J. Wareham4
  1. Urban Rosenqvist

Published Online: 9 APR 2003

DOI: 10.1002/0470846585.ch33

The Evidence Base for Diabetes Care

The Evidence Base for Diabetes Care

How to Cite

Rosenqvist, U. (2002) Delivering Care to the Population: A Commentary, in The Evidence Base for Diabetes Care (eds R. Williams, W. Herman, A.-L. Kinmonth and N. J. Wareham), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/0470846585.ch33

Editor Information

  1. 2

    Nuffield Institute for Health, University of Leeds, 71-75 Clarendon Road, Leeds LS2 9PL, UK

  2. 3

    Department of Internal Medicine and Epidemiology, 1500 East Medical Center Drive, 3920 Taubman Center, Box 0345, Ann Arbor, MI 48109, USA

  3. 4

    Department of Public Health and Primary Care, Institute of Public Health, University Forvie Site, Robinson Way, Cambridge CB2 2SR, UK

  4. 5

    General Practice and Primary Care Research Unit, Dept. of Public Health & Primary Care, Institute of Public Health, University Forvie Site, Robinson Way, Cambridge CB2 2SR, UK

Author Information

  1. Department of Public Health Uppsala Science Park, S-751 853, Uppsala, Sweden

Publication History

  1. Published Online: 9 APR 2003
  2. Published Print: 27 AUG 2002

ISBN Information

Print ISBN: 9780471988762

Online ISBN: 9780470846582

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Keywords:

  • glycemic control;
  • blood pressure;
  • footwear;
  • eye examination;
  • patient education;
  • self-managed care;
  • glucose testing

Summary

This commentary demonstrates how difficult it is to translate research into practice. Patients with diabetes determine their long-term outcome through their daily activities, including controlling their glucose levels and blood pressure, wearing the right shoes and having regular eye examinations. Health care delivery requires a new approach that recognizes the central role of the patient and finds ways to promote self-managed care. This in turn needs more efficient and comprehensive patient education, possibly in settings outside the regular health service. The input of patients is vital for the outcome of care and the reduction of costs. The health services of the future should focus on the accumulated knowledge and unique skills of the patient.