Post on 16-Aug-2020
Current approaches to
Diabetes Education
and support for SM in Spain
FIMDG, London June 8, 2010
Daniel Figuerola
www.frcf.cat
XIII Jornada de MF de La Rioja
Universidad de La Rioja
20-21de junio del 2008
El reto de la
decisión compartida:un largo camino hacia la libertad
-------------
Daniel Figuerola
www.frcf.cat
Diabetes Education in Spain
• Brief definitions in Patient Education.
• Historical cornerstones in Spain.
• Spanish approach to diabetes care.
Health Education
ETTherapeuticEducation
Patient Education
Patient Education in Spainsome historical cornerstones
(1923) Rossend Carrasco i Formiguera
(1932) Maria Montesori in Catalonia
(1978) Assal and DESG influence. the
pedagogical/psychological approach
(1984) Spanish Federation of DE
(1999) TE Group of Spanish Diabetes Society:
the holistic approach
(2007) Anderson: the empowerment approach.
…”the patient himself , properly instructed, can play a
definitive role, in making feasible what would be
impossible without his/her collaboration”
Patient Education in Spainsome historical cornerstones
(1920) Rossend Carrasco i Formiguera
(1932-39) Maria Montesori in Catalonia
(1978) Assal and DESG influence. the
pedagogical/psychological approach
(1984) Spanish Federation of DE
(1999) TE Group of Spanish Diabetes Society:
the holistic approach
(2007) Anderson: the empowerment approach.
Maria Montesori a Barcelona, ¿1937?
Patient Education in Spainsome historical cornerstones
(1920) Rossend Carrasco i Formiguera
(1932) Maria Montesori in Catalonia
(1978) Assal and DESG influence: the
pedagogical/psychological approach
(1984) Spanish Federation of DE
(1999) TE Group of Spanish Diabetes Society:
the holistic approach
(2007) Anderson: the empowerment approach.
DESG Symposium
Port de la Selva, 2008
FRCF: 100 cursos
Barcelona, 2007
Patient Education in Spainsome historical cornestones
(1920) Rossend Carrasco i Formiguera
(1932) Maria Montesori in Catalonia
(1978) Assal and DESG influence. the
pedagogical/psychological approach
(1984) Spanish Federation of DE
(1999) TE Group of Spanish Diabetes Society:
the holistic approach
(2007) Anderson: the empowerment approach.
Patient Education in Spainsome historical cornestones
(1920) Rossend Carrasco i Formiguera
(1932) Maria Montesori in Catalonia
(1978) Assal and DESG influence. the
pedagogical/psychological approach
(1984) Spanish Federation of DE
(1999) GEET or TE Group of Spanish Diabetes
Society: the holistic approach
(2007) Anderson: the empowerment approach.
Patient Education in Spainsome historical cornestones
(1920) Rossend Carrasco i Formiguera
(1932) Maria Montesori in Catalonia
(1978) Assal and DESG influence. the
pedagogical/psychological approach
(1984) Spanish Federation of DE
(1999) GEET or TE Group of Spanish Diabetes
Society: the holistic approach
(2007) Anderson: the empowerment approach.
DESG Symposium
Port de la Selva, 2008
1990
19912001
2003
2007
2005
1999
2008
GEET de la SED
Arte y diabetes, 2006
DESG, GEET, FRCF
La decisión compartida, 2009
DESG, GEET, FRCF
The Spanish approach to diabetes care.
• Different approaches in different regions.
• Type 1 treated by endocrinologists in outpatient clinics in
hospitals.
• Type 2 treated by GP in about 90 % of the cases.
• DE has been incorporated into the Health care system but
in a superficial way.
• Some doctors are reluctant to accept patient autonomy.
• Nurses don’t have official certificates as DE.
• Paternalisitc attitudes are even more frequent than those
aimed at shared decision making.
Components
- 1/3 pedagogy
- 1/3 psicology
- 1/3 biomedicine
- A teaspoon of commitement
- Some drops of affection
- A slice of humour.
How to prepare
Shake gently and serve with a
lot of respect
ET cocktail