Structured Treatment and Teaching Programmes for Patients with Diabetes mellitus and Hypertension in Germany

摘要

For many years, patient education programmes for people with diabetes and hypertension have been evaluated in the health care system. Since 1991, office-based physicians have been remunerated for providing structured treatment teaching programmes for outpatients with diabetes mellitus. Today, with the nationwide implementation of disease management programmes for diabetes and coronary heart disease, these programmes have become more and more popular. To date, four different programmes have been implemented in the German healthcare system. Remuneration costs amount to 130 EUR. per patient and completed course. Data collected on people with diabetes or hypertension demonstrate the efficacy of the programmes at the treatment level. The results demonstrate the practicability and the efficacy of the implementation of programmes as an integral part of the disease management in routine care.