This paper reports the results of a national survey undertaken to explore the impact ofprospective payment on the role of the diabetes educator and on diabetes education. Responses were received from 903 individuals— 756 diabetes educators and 147 hospital administrators. Study results indicate a need for diabetes educators to more aggressively shape their role and promote the provision of their services to better assure adequate education for those individuals diagnosed with diabetes.
References
1.
Vladeck BCMedicare hospital payment by diagnosis related groups. Ann Intern Med1984; 100:576-91.
2.
Grau L., Kovenar C.Comorbidity and length of stay: a case study. In: Schaeffer FA, ed. Patients and nurse strings: patient classification and cost management. New York: National League for Nursing, 1986.
3.
Knoebel SBThe effect of cost containment on the practice of cardiology. Am J Cardiol1985;56:32C-34C.
4.
Nelson JBThe role of an intensive care unit in a community hospital: a ten-year review with observations on utility, past, present, and future. Arch Surg1985;120:1233-36.
5.
Beck DFThe hospital's financial future: DRG's and beyond. Health Care Supervisor;3: 1-10.
6.
May JJImpact of diagnosis related groups on medical practice. Am J ' Cardiol1985;56:16C-26C.
7.
Jencks SF, Kay T.Do frail, disabled, poor, and very old Medicare beneficiaries have higher hospital charges?JAMA1987;257:198-202.
8.
Turley RM, Edwardson SRCan ICU's be used more efficiently?J Nurs Adm1985;15:25-28.
9.
Olsen SMThe challenge of prospective pricing: work smarter. J Nurs Adm1984; 14:22-26.
10.
Ziegenfuss JTDRG's and hospital impact: an organizational systems analysis. New York: McGraw-Hill , 1985.
11.
Wesbury SAThe future of health care: changes and choices. Nurs Econ1988;6:59-62.
12.
Dolenc DA, Dougherty CJDRG's: the counter-revolution in financing health care. Hastings Center Rep1985;15:19-29.
13.
Hiss RG, Frey ML, Davis WKDiabetes patient education in the office setting. Diabetes Educ1986;12:281-85.
14.
Smith CTHealth care delivery systems changes: a special challenge for teaching hospitals . J Med Educ1985;60:1-8.
15.
Floyd J., Buckle J.Nursing care of the elderly: the DRG influence. J Gerontol Nurs1987;13:20-25.
16.
Bayer R., Callahan D.Medicare reform: social and ethical perspectives. J Health Polit Policy Law1985; 10:533-47.
17.
Dramer M., Schmalenberg C.Magnet hospitals talk about the impact of DRG's on nursing care-part II. Nurs Manage1987;18:33-40.
18.
Rineberg BAOpinion: DRG-an impetus for change in health care delivery. NJ Med1986;83:45-46.
19.
Roeder PCNew opportunities for out-of-hospital health. N Engl J Med1984;310:193-97.
