文章基本信息

标题：What part of the total care consumed by type 2 diabetes patients is directly related to diabetes? Implications for disease management programs
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作者：Christel van Dijk ; Robert Verheij ; Ilse Swinkels 等
期刊名称：International Journal of Integrated Care
电子版ISSN：1568-4156
出版年度：2011
卷号：11
期号：4
DOI：10.5334/ijic.675
语种：English
出版社：Utrecht University, Maastricht University, Groningen University
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.
关键词：diabetes ; disease management program ; healthcare standards