What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programs

International Journal of Integrated Care

François Schellevis¹  Dinny de Bakker²  Peter Groenewegen³  Ilse Swinkels⁴  Mieke Rijken⁴  Robert Verheij⁴  Christel van Dijk⁴ 

[1] NIVEL, Netherlands Institute for Health Services Research & The Netherlands &Department of General Practice, EMGO Institute for Health and Care Research, VU University Medical Center;NIVEL, Netherlands Institute for Health Services Research & Tilburg University, Scientific Centre for Transformation in Care and Welfare (TRANZO);NIVEL, Netherlands Institute for Health Services Research &Utrecht University, Department of Sociology, Department of Human Geography;NIVEL, Netherlands Institute for Health Services Research;

关键词: diabetes;    disease management program;    healthcare standards;   

DOI  :  10.5334/ijic.675

来源: DOAJ

【 摘 要 】

Background: Disease management programs (DMP) aim at improving coordination and quality of care and reducing healthcare costs for specific chronic diseases. This paper investigates to what extent total healthcare utilization of type 2 diabetes patients is actually related to diabetes and its implications for diabetes management programs. Research design and methods: Healthcare utilization for diabetes patients was analyzed using 2008 self-reported data (N=316) and data from electronic medical records (EMR) (N=9023), and divided whether or not care was described in the Dutch type 2 diabetes multidisciplinary healthcare standard. Results: On average 4.3 different disciplines of healthcare providers were involved in the care for diabetes patients. 96% contacted a GP-practice and 63% an ophthalmologist, 24% an internist, 32% a physiotherapist and 23% a dietician. Diabetes patients had on average 9.3 contacts with GP-practice of which 53% were included in the healthcare standard. Only a limited part of total healthcare utilization of diabetes patients was included in the healthcare standard and therefore theoretically included in DMPs. Conclusion: Organizing the care for diabetics in a DMP might harm the coordination and quality of all healthcare for diabetics. DMPs should be integrated in the overall organization of care.

【 授权许可】

Unknown