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Russia Diabetes Disease Management Initiative (1993-1998)

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The Gore-Chernomyrdin Commission Health Committee identified specific areas for cooperation, including the implementation of sustainable education and training programs designed to address both Type I and Type II diabetes in children and adults.

In collaboration with the Russian Ministry of Health, the Moscow Oblast Health Administration, and various local governments and healthcare institutions in five selected replication sites, as well as the Dubna/La Crosse partners and Eli Lilly and Company, AIHA’s Diabetes Disease Management Initiative developed, tested, and implemented a replicable model program that utilized a multidisciplinary, wellness-oriented, team approach to educate patients in the self-management of diabetes.

The Diabetes Disease Management Initiative relied on public-private collaboration to replicate and expand the existing Dubna Diabetes Education model in three sites in Moscow Oblast (Balasicha, Krasnogorsk and D’mitrov) and two within the Moscow city limits (Diagnostic Center No. 2 and Polyclinic No. 139), thereby facilitating treatment and care management for an estimated 15,000 diabetics living in the region.

With the overarching goal of reducing mortality and morbidity rates associated with diabetic complications by introducing a community-based, patient-centered preventive model of care, the Diabetes Disease Management Initiative:

  • provided an easily replicable model that could facilitate policy reform on existing diabetes care in Russia;
  • reduced public and private health sector costs in the Moscow region by lowering lengths of hospital stays due to diabetic complications and reduced insulin use; and
  • achieved sustainable improvements in diabetes care by creating teams of physicians, nurses, and health educators skilled in diabetes education able to disseminate the model throughout Russia

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