INTEGRATED DIABETES CARE. A MULTIDISCIPLINARY APPROACH

•With its broad scope, this book allows the readers to see the issues from multiple perspectives, both internationally as well as multidisciplinarily
•This book showcases innovative approaches to Diabetes, showing the reader new ways by which problems are addressed and their putative outcomes
•The inclusion of health economic issues allows the reader to understand the trade-offs in different interventions in various health systems

Integrating care across disciplines and organisations around the needs of the person with diabetes has been proposed as an approach that could improve care while reducing cost- but has it and can it? Integrated Diabetes Care- A Multidisciplinary Approach collates evidence of worldwide approaches to both horizontal integration (across disciplines) and vertical integration (across organizations) in diabetes care and describe what was done, what worked and what appeared to be the barriers to achieving the goals of the programmes. Evidence is to be sought from groups who have developed different approaches to integrating diabetes care in different health systems (eg insurance vs tax payer funded, single vs multiple organization, published vs unpublished). A final chapter brings the evidence together for a final discussion about what seems to work and what does not.

Authors
•Dr Simmons, BA, MBBS, MRCP, MD, FRACP, FRCP. Lead Community Diabetologist, Cambridge University Hospitals NHS Foundation Trust (CHFT). Dr. Simmons is a diabetes clinician and clinical epidemiologist who has undertaken significant community diabetes work in the UK, New Zealand, Australia and the US over the last 27 years attempting to improve the care and lives of people with diabetes. Dr. Simmons co-chairs the Diabetes UK Diabetes Health professional education working group and leads the Cambridgeshire Diabetes Education Project, the national pilot for how we use diabetes health professional competency frameworks in clinical practice. He also chairs the Cambridge University Hospitals Insulin/Diabetes Safety Board.
•Helmut Wenzel, MAS. Emeritus; Head of Scientific Reimbursement Management Department in Diabetes Care, Roche Diagnostics. Helmut Wenzel is health economist. He was working in the pharmaceutical and diagnostic industry for 21 years. In his last position his was responsible for Scien¬tific Reimbursement Management in Diabetes Care at Roche. Before that he hea¬ded the Medical Affairs Department in the German sales organization. He has been responsible for Outcomes Research and Health Economics in different functions in Roche, and had also held that posi¬tion with Boehringer Mannheim before the take-over by Roche. Mr. Wenzel is a member of several national and international scientific societies and he currently serves on several Working Groups, including IDF, the Society for Medical Decision Making, the ISPOR and the International Health Economist Society. He has been working in the Stability Project for South Eastern Europe.
•Janice Zgibor, RPh, PhD. Prof. Zgibor is an associate Professor of Epidemiology and Medicine, as well as Program Director, Center for Aging and Population Health, at the Prevention Research Center in Pittsburgh, USA.

Contents
1. Introduction.
2. Insurance based single system in the USA.
3. US tax payer based single provider system in the USA.
4. Insurance based system across primary and secondary care.
5. Care integrated across indigent groups through the chronic disease model.
6. Insurance based system linking rural primary care and urban private secondary care.
7. Integrated Care Initiative in rural England.
8. Derby Diabetes Care: UK taxpayer based health system with a single organization created as a joint venture between primary and secondary care in a largely urban area.
9. Leicester-Whole system integration in a large city in the UK.
10. German health care.
11. Netherlands health care.
12. Bringing it all together: Common features to the approaches.