Team-Based Pediatric Type 1 Diabetes Care in the USA: Current Practices and Sustainability Concerns
Despite the commitment of pediatric diabetes centers to provide high-quality multidisciplinary care, many youth with T1D may not receive the services as frequently as recommended. These services are often unreimbursed. We advocate for alternative reimbursement models for clinical workflows that support the delivery of individualized, multidisciplinary care aligned with best practices shown to improve clinical outcomes and quality of life for youth with T1D. Examples include expansion of telemedicine and remote monitoring, non-face-to-face acute and routine care, navigation of technology, supplies and services, engagement and coordination of community-based resources among others. Such models would promote equitable, needs-based care while enabling centers to operate efficiently.
Authors
- Valeria C. Benavides (ORCID: https://orcid.org/0000-0002-4231-7319)
- Saketh Rompicherla
- Holly Hardison (ORCID: https://orcid.org/0000-0003-3241-020X)
- Ksenia N. Tonyushkina (ORCID: https://orcid.org/0000-0002-6415-8005)
- Risa M. Wolf (ORCID: https://orcid.org/0000-0001-7674-520X)
- Ingrid Libman (ORCID: https://orcid.org/0000-0002-0255-4555)
- Mary Gallagher (ORCID: https://orcid.org/0000-0002-5844-2309)
- Ines Guttmann‐Bauman (ORCID: https://orcid.org/0000-0002-6575-0158)
- Nicole Rioles (ORCID: https://orcid.org/0000-0002-3355-0565)
- Christine A. March (ORCID: https://orcid.org/0000-0002-5141-0427)
Institutions
- Johns Hopkins University (US)
- Oregon Health & Science University (US)
- University of Pittsburgh (US)
- Johns Hopkins Medicine (US)
- T1D Exchange (US)
- Children's Hospital of Pittsburgh (US)
- Children's Hospital of Illinois (US)
- Rainbow Babies & Children's Hospital (US)
- University School (US)
- New York University (US)
- Case Western Reserve University (US)
Publication Details
- Journal
- Hormone Research in Paediatrics
- Published
- 2025-08-20
- DOI
- https://doi.org/10.1159/000548002
- Primary Topic
- Diabetes Management and Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00