Abstract
Various studies have established that adequate staffing in hospitals is associated with improved clinical outcomes among patients; patients with diabetes have been reported to have better outcomes with higher provider to patient ratio ( 1 Guttmann-Bauman I, Thornton P, Adhikari S, Reifschneider K, Wood MA, Hamby T, Rubin K. Pediatric endocrine society survey of diabetes practices in the United States: What is the current state? Pediatr Diabetes. 2018 Aug;19(5):859-865. doi: 10.1111/pedi.12677. Epub 2018 Apr 14. PMID: 29582520. Google Scholar ). ISPAD guidelines 2022 suggest an optimal resource allocation per 100 patients to be 1.0–1.25 diabetes nurse, 0.75–1.0 pediatric diabetologist, 0.5 dietitian and 0.3 social worker/psychologist ( 2 Limbert C, Tinti D, Malik F, Kosteria I, Messer L, Jalaludin MY, Benitez-Aguirre P, Biester S, Corathers S, von Sengbusch S, Marcovecchio ML. ISPAD Clinical Practice Consensus Guidelines 2022: The delivery of ambulatory diabetes care to children and adolescents with diabetes. Pediatr Diabetes. 2022 Dec;23(8):1243-1269. doi: 10.1111/pedi.13417. PMID: 36537530. Google Scholar ). However, when considering type 1 diabetes (T1D) population, where a team of providers, including nurses, diabetes educators, doctors etc. plays a role in patient glycemic management, there are no studies that have looked at describing provider staffing ratio in pediatric and adult endocrinology centers.
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