Patient-centred care


A Canterbury tale: this is your life, Don Beaven

Some people have ideas; others seem driven to put them into effect. In Christchurch, New Zealand, over the last 50 years, Don Beaven has pioneered diabetes associations, diabetes centres, diabetes promotion, and diabetes guidelines, not to mention wine and olive growing. The local diabetes association, Diabetes Christchurch, recently held a 'This is Your Life' celebration of his activities and successes – Elizabeth Home reports.

Staged Diabetes Management: improving diabetes care worldwide

Diabetes and the disorders associated with diabetes currently affect one billion people world wide. Surprisingly, specialists care for less than 2% of people with diabetes and its related disorders. General practitioners constitute the principal care providers for almost all of these people. The majority of these health professionals serve in an environment with very limited resources. Nevertheless, within such health-care systems, these resources can be optimized, and evidence-based medicine can be practised. Roger S Mazze reports on the potential improvements to

Improved diabetes management in South Africa: the case for a capitation model

About 43 million people live in the Republic of South Africa. Approximately 80% of these receive government-sponsored medical care, and 20% receive medical care in the private sector – paid for either by themselves or by medical insurance schemes. The costs of diabetes management are considerable, both for the person with the condition and the health-care provider. These costs relate to the management of the condition and the treatment of short- and long-term diabetes

Staged Diabetes Management in Mexico: optimizing care with limited resources

In 1997, diabetes became the third leading cause of death in Mexico. This is a national phenomenon. Regardless of geography or the rural or urban nature of their populations, deaths due to diabetes have increased in 28 of the 32 states in Mexico. Conservative estimates place the current rate of diabetes prevalence at 7.4% among people aged 20-79 years. Estimates from other sources are even higher. Clearly diabetes has become one of the principle public health problems in the country.

Electronic communication: improving patient-centred care in Scotland

In this article, Alistair Emslie-Smith reports on the considerable improvements to diabetes care which are offered by the Diabetes Audit and Research in Tayside Scotland (DARTS) system. This initiative serves as a register and database for all diabetes care activity across the region. DARTS offers a wide range of resources for people with diabetes, health professionals, and those with an interest in the condition.

Not the blank slate

Editor-in-Chief's editorial

The very centre of care

Editor-in-Chief's editorial