Organization and regional distribution of centers for the management of children and adolescents with diabetes in Italy
Articolo
Data di Pubblicazione:
2015
Citazione:
Organization and regional distribution of centers for the management of children and adolescents with diabetes in Italy / Giorgetti, C; Ferrito, L; Zallocco, F; Iannilli, A; Cherubini, V; Study Group for Diabetes of, Isped; Maghnie, M; Rabbone, I; Lera, R; De Luna, L; Kienberger, B; Gualtieri, A; Zecchino, C; Piccino, E; Ortolani, F; Zucchini, S; Maltoni, G; Pasquino, B; Reinstadler, P; Prandi, E; Zattoni, V; Gallo, F; Morganti, G; Guerraggio, L; Ripoli, C; Frongia, M; Pusceddu, P; La Loggia, A; Scanu, P; Cardinale, G; Ponzi, G; Tomaselli, Lg; Rapisarda, V; Citriniti, F; Soprani, T; Tumini, S; Lazzaro, N; De Donno, V; Banin, P; Toni, S; Lenzi, L; Mainetti, B; Coccioli, Ms; D’Annunzio, G; Minuto, N; Montani, E; Maccioni, R; Marongiu, U; Beccaria, L; Bruzzese, M; Mammì, F; Pardi, D; Lombardo, F; Ventrici, C; Scaramazza, A; Ferrari, M; Bonfanti, R; Rigamonti, A; Iughetti, L; Predieri, B; Iafusco, D; Confetto, S; Zanfardino, A; Prisco, F; Francese, A; De Nitto, E; Cadario, F; Milia, A; Piredda, G; Mereu, L; Soro, M; Correddu, A; Pipia, A; Monciotti, C; Cardella, F; De Berardinis, F; Santoro, G; Chiari, G; Berioli, Mg; Federico, G; Zanette, G; Marsciani, A; Pedini, A; Patera, Ip; Schiaffini, R; Bitti, M; Lidano, R; Pietrosanti, S; Delvecchio, M; Trada, M; Marinaro, A; Meloni, G; Galero, A; Fichera, G; Bulciolu, P; Rabbone, I; Ignaccolo, G; Cauvin, V; Franceschi, R; Faleschini, E; Tornese, G; Salvatoni, A; Cardani, R; Maffeis, C; Marigliano, M; Sabbion, A; Arnaldi, C. - In: THE ITALIAN JOURNAL OF PEDIATRICS. - ISSN 1720-8424. - 41:74(2015), pp. 1-7. [10.1186/s13052-015-0179-6]
Abstract:
Background: The incidence of type 1 diabetes in childhood is increasing by 3 % per year, placing growing
demands on healthcare professionals and medical expenditures. Aim of this study wars to assess the organization
of care to children with diabetes in Italy.
Methods: During 2012 a structured questionnaire was sent to all of the members of Italian Society of Paediatric
Endocrinology and Diabetology (ISPED). Questions examined organizational structure of Centers, personnel dedicated
to the care of children with diabetes, number of subjects followed, local legal legislation supporting centres.
Results: A total of 68 centers taking care to 15,563 children and adolescents with diabetes under 18 years of age
were identified with a prevalence of 1.4 per 1,000 people. A wide variation in the organizational background was
also reported. Fourty-four centers were organized as outpatient departments, 17 as simple units, 5 as complex
units and 2 as simple departmental structures. Most centers had a multidisciplinary team. Ten out of twenty
Italian regions had introduced supportive regional legislation, but it was fully applied only in six of them.
Conclusion: Great differences between regions were found in organizational structures, staffing levels and
supportive legislation. The national legislation on diabetes was broadly implemented throughout the country
regions. Further efforts are needed to improve standards and consistency of pediatric diabetes care in Italy.
Keywords: Type 1 diabetes, Prevalence, Regional legislation, Pediatric diabetes centers, Organization of care
demands on healthcare professionals and medical expenditures. Aim of this study wars to assess the organization
of care to children with diabetes in Italy.
Methods: During 2012 a structured questionnaire was sent to all of the members of Italian Society of Paediatric
Endocrinology and Diabetology (ISPED). Questions examined organizational structure of Centers, personnel dedicated
to the care of children with diabetes, number of subjects followed, local legal legislation supporting centres.
Results: A total of 68 centers taking care to 15,563 children and adolescents with diabetes under 18 years of age
were identified with a prevalence of 1.4 per 1,000 people. A wide variation in the organizational background was
also reported. Fourty-four centers were organized as outpatient departments, 17 as simple units, 5 as complex
units and 2 as simple departmental structures. Most centers had a multidisciplinary team. Ten out of twenty
Italian regions had introduced supportive regional legislation, but it was fully applied only in six of them.
Conclusion: Great differences between regions were found in organizational structures, staffing levels and
supportive legislation. The national legislation on diabetes was broadly implemented throughout the country
regions. Further efforts are needed to improve standards and consistency of pediatric diabetes care in Italy.
Keywords: Type 1 diabetes, Prevalence, Regional legislation, Pediatric diabetes centers, Organization of care
Tipologia CRIS:
1.1 Articolo in rivista
Keywords:
Type 1 Diabetes; Prevalence; Regional legislation; Pediatric diabetes centers; Organization of care
Elenco autori:
Giorgetti, C; Ferrito, L; Zallocco, F; Iannilli, A; Cherubini, V; Study Group for Diabetes of, Isped; Maghnie, M; Rabbone, I; Lera, R; De Luna, L; Kienberger, B; Gualtieri, A; Zecchino, C; Piccino, E; Ortolani, F; Zucchini, S; Maltoni, G; Pasquino, B; Reinstadler, P; Prandi, E; Zattoni, V; Gallo, F; Morganti, G; Guerraggio, L; Ripoli, C; Frongia, M; Pusceddu, P; La Loggia, A; Scanu, P; Cardinale, G; Ponzi, G; Tomaselli, Lg; Rapisarda, V; Citriniti, F; Soprani, T; Tumini, S; Lazzaro, N; De Donno, V; Banin, P; Toni, S; Lenzi, L; Mainetti, B; Coccioli, Ms; D’Annunzio, G; Minuto, N; Montani, E; Maccioni, R; Marongiu, U; Beccaria, L; Bruzzese, M; Mammì, F; Pardi, D; Lombardo, F; Ventrici, C; Scaramazza, A; Ferrari, M; Bonfanti, R; Rigamonti, A; Iughetti, L; Predieri, B; Iafusco, D; Confetto, S; Zanfardino, A; Prisco, F; Francese, A; De Nitto, E; Cadario, F; Milia, A; Piredda, G; Mereu, L; Soro, M; Correddu, A; Pipia, A; Monciotti, C; Cardella, F; De Berardinis, F; Santoro, G; Chiari, G; Berioli, Mg; Federico, G; Zanette, G; Marsciani, A; Pedini, A; Patera, Ip; Schiaffini, R; Bitti, M; Lidano, R; Pietrosanti, S; Delvecchio, M; Trada, M; Marinaro, A; Meloni, G; Galero, A; Fichera, G; Bulciolu, P; Rabbone, I; Ignaccolo, G; Cauvin, V; Franceschi, R; Faleschini, E; Tornese, G; Salvatoni, A; Cardani, R; Maffeis, C; Marigliano, M; Sabbion, A; Arnaldi, C
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