What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programs
<p><strong>Background</strong>: 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 actual...
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2011-12-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/index.php/ijic/article/view/675 |
| _version_ | 1818195841838481408 |
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| author | Christel van Dijk Robert Verheij Ilse Swinkels Mieke Rijken François Schellevis Peter Groenewegen Dinny de Bakker |
| author_facet | Christel van Dijk Robert Verheij Ilse Swinkels Mieke Rijken François Schellevis Peter Groenewegen Dinny de Bakker |
| author_sort | Christel van Dijk |
| collection | DOAJ |
| description | <p><strong>Background</strong>: 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.</p><p><strong>Research design and methods:</strong> 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.</p><p><strong>Results:</strong> 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.</p><p><strong>Conclusion:</strong> 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.</p> |
| first_indexed | 2024-12-12T01:24:36Z |
| format | Article |
| id | doaj.art-2546dcb5aa3940f0afffa9f0c93ccf62 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-12T01:24:36Z |
| publishDate | 2011-12-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-2546dcb5aa3940f0afffa9f0c93ccf622022-12-22T00:43:08ZengUbiquity PressInternational Journal of Integrated Care1568-41562011-12-01114740What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programsChristel van Dijk0Robert Verheij1Ilse Swinkels2Mieke Rijken3François Schellevis4Peter Groenewegen5Dinny de Bakker6NIVEL, Netherlands Institute for Health Services ResearchNIVEL, Netherlands Institute for Health Services ResearchNIVEL, Netherlands Institute for Health Services ResearchNIVEL, Netherlands Institute for Health Services ResearchNIVEL, Netherlands Institute for Health Services Research & The Netherlands & Department of General Practice, EMGO Institute for Health and Care Research, VU University Medical CenterNIVEL, Netherlands Institute for Health Services Research &Utrecht University, Department of Sociology, Department of Human GeographyNIVEL, Netherlands Institute for Health Services Research & Tilburg University, Scientific Centre for Transformation in Care and Welfare (TRANZO)<p><strong>Background</strong>: 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.</p><p><strong>Research design and methods:</strong> 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.</p><p><strong>Results:</strong> 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.</p><p><strong>Conclusion:</strong> 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.</p>http://www.ijic.org/index.php/ijic/article/view/675diabetesdisease management programhealthcare standards |
| spellingShingle | Christel van Dijk Robert Verheij Ilse Swinkels Mieke Rijken François Schellevis Peter Groenewegen Dinny de Bakker 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 diabetes disease management program healthcare standards |
| title | What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programs |
| title_full | What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programs |
| title_fullStr | What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programs |
| title_full_unstemmed | What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programs |
| title_short | What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programs |
| title_sort | what part of the total care consumed by type 2 diabetes patients is directly related to diabetes implications for disease management programs |
| topic | diabetes disease management program healthcare standards |
| url | http://www.ijic.org/index.php/ijic/article/view/675 |
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