Emerging trends in diabetes care practice and policy in The Netherlands: a key informants study

BMC Research Notes

Jan van Lieshout³  Maria Carmen Portillo¹  Anne Rogers²  Jan Koetsenruijter³  Michel Wensing³ 

[1] University of Navarra, Pamplona, Spain;University of Southampton, Southampton, United Kingdom;Radboud University Medical Centre, Scientific Institute for Quality in Healthcare, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands

关键词: The Netherlands;    Health policy;    Self-management;    Diabetes care;   

Others  :  1127372
DOI  :  10.1186/1756-0500-7-693

 received in 2014-01-28, accepted in 2014-10-02,  发布年份 2014

【 摘 要 】

Background

Effective self-management is viewed as the cornerstone of diabetes care. Many interventions and policies are available to support self-management, but challenges remain regarding reaching specific subgroups and effectively changing lifestyles. Here, our aim was to identify emerging policies and practices regarding diabetes care in The Netherlands.

Methods

Study with a purposeful sample of key informants, covering a range of stakeholders. They were individually interviewed, using a flexible and semi-structured approach. A thematic analysis was done, guided by an international framework, which resulted in 28 themes.

Results

After a decade of investing in diabetes care in The Netherlands, stakeholders seem to have shifted their focus towards a view that effective self-management is expected in most people. The expectation is that individuals’ personal networks, community organizations and emerging information technologies will facilitate this. If support of self-management is required, this has to be provided by local coalitions of health and social care organizations, with involvement of municipalities. Poor reach in specific subgroups of the population, such as economically deprived people, is recognized but has not led to targeted policies.

Conclusions

The role of healthcare providers in supporting patients’ self-management in diabetes care seems to be changing in The Netherlands.

【 授权许可】

   
2014 Wensing et al.; licensee BioMed Central Ltd.

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