對病患施予衛教在糖尿病治療上是不可或缺的一環。然而，若無法了解在執行衛教工作時所可能遭遇的困難，糖尿病衛教將會是一個缺乏效率的工作。為此，我們於2003年以問卷調查的方式做了衛教困難度的評估，並於2004年再一次調查以評估實行總額給付及糖尿病個案管理的制度對衛教工作的影響。分析兩年的結果，我們發現行政及機構因素是造成衛教困難的主要原因；而其中又以人力不足所致的困難度最大。總額給付及糖尿病個案管理對衛教工作只有少許的影響，其中以門診的護理人員衛教困難度變大為主。經由這個調查顯示，我們的行政機構應該給與衛教工作更大的支持，以期獲得更全面性的糖尿病照護成果。

Patient education is an essential component in the treatment of diabetes mellitus. Understanding the difficulties encountered during patient education helps health providers to offer better education programs and therefore to achieve better disease outcomes. We performed two questionnaire-studies in the year of 2003 and 2004 to evaluate the difficulties encountered in diabetes education. In addition, we try to find out the impacts of "Global Budget Payment System" and "Diabetic Case Management" on diabetes education. Our results found institute and administrative factors, especially short of education manpower, were the major problem resulting in education difficulties. "Global Budget Payment System" and "Diabetic Case Management" add some difficulties on diabetes education. Our study found the administrative institutes must provide more support to solve the difficulties encountered in diabetes education.