Defining and improving quality management in Dutch diabetes care groups and outpatient clinics

design of the study

Marjo J. E. Campmans-Kuijpers*, Lidwien C. Lemmens, C.A. Baan, Kees J. Gorter, Jolanda Groothuis, Klementine H. van Vuure, Guy E. H. M. Rutten

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background: Worldwide, the organisation of diabetes care is changing. As a result general practices and diabetes teams in hospitals are becoming part of new organisations in which multidisciplinary care programs are implemented. In the Netherlands, 97 diabetes care groups and 104 outpatient clinics are working with a diabetes care program. Both types of organisations aim to improve the quality of diabetes care. Therefore, it is essential to understand the comprehensive elements needed for optimal quality management at organisational level. This study aims to assess the current level of diabetes quality management in both care groups and outpatient clinics and its improvement after providing feedback on their quality management system and tailored support.

Methods/design: This study is a before-after study with a one-year follow-up comparing the levels of quality management before and after an intervention to improve diabetes quality management. To assess the status of quality management, online questionnaires were developed based on current literature. They consist of six domains: organisation of care, multidisciplinary teamwork, patient centeredness, performance management, quality improvement policy and management strategies. Based on the questionnaires, respondents will receive feedback on their score in a radar diagram and an elucidating table. They will also be granted access to an online toolbox with instruments that proved to be effective in quality of care improvement and with practical examples. If requested, personal support in implementing these tools will be available. After one year quality management will be measured again using the same questionnaire.

Discussion: This study will reveal a nationwide picture of quality management in diabetes care groups and outpatient clinics in the Netherlands and evaluate the effect of offering tailored support. The operationalisation of quality management on organisational level may be of interest for other countries as well.

Original languageEnglish
Article number129
Number of pages10
JournalBMC Health Services Research
Volume13
DOIs
Publication statusPublished - 5 Apr 2013
Externally publishedYes

Keywords

  • Type 2 diabetes
  • Quality management
  • Quality improvement
  • Care groups
  • Outpatient clinics
  • Questionnaire
  • Integrated care
  • Shared care
  • Disease management
  • HEALTH-CARE
  • INTEGRATED CARE
  • NETHERLANDS
  • SYSTEMS
  • MODEL

Cite this

Campmans-Kuijpers, M. J. E., Lemmens, L. C., Baan, C. A., Gorter, K. J., Groothuis, J., van Vuure, K. H., & Rutten, G. E. H. M. (2013). Defining and improving quality management in Dutch diabetes care groups and outpatient clinics: design of the study. BMC Health Services Research, 13, [129]. https://doi.org/10.1186/1472-6963-13-129
Campmans-Kuijpers, Marjo J. E. ; Lemmens, Lidwien C. ; Baan, C.A. ; Gorter, Kees J. ; Groothuis, Jolanda ; van Vuure, Klementine H. ; Rutten, Guy E. H. M. / Defining and improving quality management in Dutch diabetes care groups and outpatient clinics : design of the study. In: BMC Health Services Research. 2013 ; Vol. 13.
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Defining and improving quality management in Dutch diabetes care groups and outpatient clinics : design of the study. / Campmans-Kuijpers, Marjo J. E.; Lemmens, Lidwien C.; Baan, C.A.; Gorter, Kees J.; Groothuis, Jolanda; van Vuure, Klementine H.; Rutten, Guy E. H. M.

In: BMC Health Services Research, Vol. 13, 129, 05.04.2013.

Research output: Contribution to journalArticleScientificpeer-review

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T1 - Defining and improving quality management in Dutch diabetes care groups and outpatient clinics

T2 - design of the study

AU - Campmans-Kuijpers, Marjo J. E.

AU - Lemmens, Lidwien C.

AU - Baan, C.A.

AU - Gorter, Kees J.

AU - Groothuis, Jolanda

AU - van Vuure, Klementine H.

AU - Rutten, Guy E. H. M.

PY - 2013/4/5

Y1 - 2013/4/5

N2 - Background: Worldwide, the organisation of diabetes care is changing. As a result general practices and diabetes teams in hospitals are becoming part of new organisations in which multidisciplinary care programs are implemented. In the Netherlands, 97 diabetes care groups and 104 outpatient clinics are working with a diabetes care program. Both types of organisations aim to improve the quality of diabetes care. Therefore, it is essential to understand the comprehensive elements needed for optimal quality management at organisational level. This study aims to assess the current level of diabetes quality management in both care groups and outpatient clinics and its improvement after providing feedback on their quality management system and tailored support.Methods/design: This study is a before-after study with a one-year follow-up comparing the levels of quality management before and after an intervention to improve diabetes quality management. To assess the status of quality management, online questionnaires were developed based on current literature. They consist of six domains: organisation of care, multidisciplinary teamwork, patient centeredness, performance management, quality improvement policy and management strategies. Based on the questionnaires, respondents will receive feedback on their score in a radar diagram and an elucidating table. They will also be granted access to an online toolbox with instruments that proved to be effective in quality of care improvement and with practical examples. If requested, personal support in implementing these tools will be available. After one year quality management will be measured again using the same questionnaire.Discussion: This study will reveal a nationwide picture of quality management in diabetes care groups and outpatient clinics in the Netherlands and evaluate the effect of offering tailored support. The operationalisation of quality management on organisational level may be of interest for other countries as well.

AB - Background: Worldwide, the organisation of diabetes care is changing. As a result general practices and diabetes teams in hospitals are becoming part of new organisations in which multidisciplinary care programs are implemented. In the Netherlands, 97 diabetes care groups and 104 outpatient clinics are working with a diabetes care program. Both types of organisations aim to improve the quality of diabetes care. Therefore, it is essential to understand the comprehensive elements needed for optimal quality management at organisational level. This study aims to assess the current level of diabetes quality management in both care groups and outpatient clinics and its improvement after providing feedback on their quality management system and tailored support.Methods/design: This study is a before-after study with a one-year follow-up comparing the levels of quality management before and after an intervention to improve diabetes quality management. To assess the status of quality management, online questionnaires were developed based on current literature. They consist of six domains: organisation of care, multidisciplinary teamwork, patient centeredness, performance management, quality improvement policy and management strategies. Based on the questionnaires, respondents will receive feedback on their score in a radar diagram and an elucidating table. They will also be granted access to an online toolbox with instruments that proved to be effective in quality of care improvement and with practical examples. If requested, personal support in implementing these tools will be available. After one year quality management will be measured again using the same questionnaire.Discussion: This study will reveal a nationwide picture of quality management in diabetes care groups and outpatient clinics in the Netherlands and evaluate the effect of offering tailored support. The operationalisation of quality management on organisational level may be of interest for other countries as well.

KW - Type 2 diabetes

KW - Quality management

KW - Quality improvement

KW - Care groups

KW - Outpatient clinics

KW - Questionnaire

KW - Integrated care

KW - Shared care

KW - Disease management

KW - HEALTH-CARE

KW - INTEGRATED CARE

KW - NETHERLANDS

KW - SYSTEMS

KW - MODEL

U2 - 10.1186/1472-6963-13-129

DO - 10.1186/1472-6963-13-129

M3 - Article

VL - 13

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

M1 - 129

ER -