PCDC Recap

Evidence-Based Diabetes Management, Patient-Centered Diabetes Care: Putting Theory Into Practice 2014, Volume 20, Issue SP9

The second annual conference on Patient-Centered Diabetes Care left the audience with the message that diabetes continues to be a major healthcare issue. However, innovative healthcare management programs, which are patient-centric and involve all of the patient’s caregivers, can result in much improved disease management.

The special guest speaker, Jay Hewitt, a type 1 diabetes mellitus (T1DM) patient himself, amazed the audience with a narrative on how well he has managed to cope with, and at times win against, his condition. Managing diabetes is hard enough, but it’s a completely different ball game for an athlete. Citing his life experiences as a triathlon athlete, Hewitt emphasized the need for understanding and “respecting” the disease.

The speakers who participated in the first session addressed issues of health disparities among communities, improving medication adherence, and the use of technology for better disease management. Similar to what has happened in oncology, the realization has set in that one size does not fit all even with diabetes. The

faculty who participated in a panel discussion agreed that more individualized care could help improve the health of the population as a whole.

This was reiterated by the keynote speaker, Robert Gabbay, MD, PhD, who said physicians need to change their outlook—from a single patient model to a population model. He emphasized the need for regular quality assessments to improve care, and provided examples of various programs initiated at the Joslin Diabetes Center to improve models of care.

The sessions held on the second day of the meeting highlighted the importance of increased participation by various care providers, including integration of the pharmacist in diabetes patient care. The speakers stressed that the pharmacist is an untapped resource who can step in and provide many services of a traditional

EBDM

physician, as needed. The last panel discussion emphasized the changes brought about by accountable care organizations (ACOs) in diabetes care. Value-based care is always in the patient’s best interest, and ACOs can bring such care to the patient’s doorstep.