Diabetes quality management in Dutch care groups and outpatient clinics

A cross-sectional study

Marjo J E Campmans-Kuijpers, C.A. Baan, Lidwien C Lemmens, Guy E H M Rutten

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background: 

In recent years, most Dutch general practitioners started working under the umbrella of diabetes care groups, responsible for the organisation and coordination of diabetes care. The quality management of these new organisations receives growing interest, although its association with quality of diabetes care is yet unclear. The best way to measure quality management is unknown and it has not yet been studied at the level of outpatient clinics or care groups. We aimed to assess quality management of type 2 diabetes care in care groups and outpatient clinics.

Results: 

Quality management was measured with online questionnaires, containing six domains (see below). They were divided into 28 subdomains, with 59 (care groups) and 57 (outpatient clinics) questions respectively. The mean score of the domains reflects the overall score (0-100%) of an organisation. Two quality managers of all Dutch care groups and outpatient clinics were invited to fill out the questionnaire.Sixty care groups (response rate 61.9%) showed a mean score of 59.6% (CI 57.1-62.1%). The average score in 52 outpatient clinics (response rate 50.0%) was 61.9% (CI 57.5-66.8%).Mean scores on the six domains for care groups and outpatient clinics respectively were: 'organisation of care' 71.9% (CI 68.8-74.9%), 76.8% (CI 72.8-80.7%); 'multidisciplinary teamwork' 67.1% (CI 62.4-71.9%), 71.5% (CI 65.3-77.8%); 'patient centeredness' 46.7% (CI 42.6-50.7%), 62.5% (CI 57.7-67.2%); 'performance management' 63.3% (CI 61.2-65.3%), 50.9% (CI 44.2-57.5%); 'quality improvement policy' 52.6% (CI 49.2-56.1%), 50.9% (CI 44.6-57.3%); and 'management strategies' 56.0% (CI 51.4-60.7%), 59.0% (CI 52.8-65.2%). On subdomains, care groups scored highest on 'care program' (83.3%) and 'measured outcomes' (98.3%) and lowest on 'patient safety' (15.1%) and 'patient involvement' (17.7%). Outpatient clinics scored high on the presence of a 'diabetic foot team' (81.6%) and the support in 'self-management' (81.0%) and low on 'patient involvement' (26.8%) and 'inspection of medical file' (28.0%).

Conclusions: 

This nationwide assessment reveals that the level of quality management in diabetes care varies between several subdomains in both diabetes care groups and outpatient clinics.

Original languageEnglish
Article number497
JournalBMC Research Notes
Volume7
DOIs
Publication statusPublished - 7 Aug 2014

Fingerprint

Quality management
Medical problems
Ambulatory Care Facilities
Cross-Sectional Studies
Patient Participation
Organizations
Diabetic Foot
Managers
Inspection
General Practitioners
Type 2 Diabetes Mellitus

Keywords

  • Ambulatory Care Facilities
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2/therapy
  • Group Processes
  • Humans
  • Netherlands
  • Quality of Health Care
  • Reproducibility of Results
  • Surveys and Questionnaires

Cite this

Campmans-Kuijpers, Marjo J E ; Baan, C.A. ; Lemmens, Lidwien C ; Rutten, Guy E H M. / Diabetes quality management in Dutch care groups and outpatient clinics : A cross-sectional study. In: BMC Research Notes. 2014 ; Vol. 7.
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title = "Diabetes quality management in Dutch care groups and outpatient clinics: A cross-sectional study",
abstract = "Background: In recent years, most Dutch general practitioners started working under the umbrella of diabetes care groups, responsible for the organisation and coordination of diabetes care. The quality management of these new organisations receives growing interest, although its association with quality of diabetes care is yet unclear. The best way to measure quality management is unknown and it has not yet been studied at the level of outpatient clinics or care groups. We aimed to assess quality management of type 2 diabetes care in care groups and outpatient clinics.Results: Quality management was measured with online questionnaires, containing six domains (see below). They were divided into 28 subdomains, with 59 (care groups) and 57 (outpatient clinics) questions respectively. The mean score of the domains reflects the overall score (0-100{\%}) of an organisation. Two quality managers of all Dutch care groups and outpatient clinics were invited to fill out the questionnaire.Sixty care groups (response rate 61.9{\%}) showed a mean score of 59.6{\%} (CI 57.1-62.1{\%}). The average score in 52 outpatient clinics (response rate 50.0{\%}) was 61.9{\%} (CI 57.5-66.8{\%}).Mean scores on the six domains for care groups and outpatient clinics respectively were: 'organisation of care' 71.9{\%} (CI 68.8-74.9{\%}), 76.8{\%} (CI 72.8-80.7{\%}); 'multidisciplinary teamwork' 67.1{\%} (CI 62.4-71.9{\%}), 71.5{\%} (CI 65.3-77.8{\%}); 'patient centeredness' 46.7{\%} (CI 42.6-50.7{\%}), 62.5{\%} (CI 57.7-67.2{\%}); 'performance management' 63.3{\%} (CI 61.2-65.3{\%}), 50.9{\%} (CI 44.2-57.5{\%}); 'quality improvement policy' 52.6{\%} (CI 49.2-56.1{\%}), 50.9{\%} (CI 44.6-57.3{\%}); and 'management strategies' 56.0{\%} (CI 51.4-60.7{\%}), 59.0{\%} (CI 52.8-65.2{\%}). On subdomains, care groups scored highest on 'care program' (83.3{\%}) and 'measured outcomes' (98.3{\%}) and lowest on 'patient safety' (15.1{\%}) and 'patient involvement' (17.7{\%}). Outpatient clinics scored high on the presence of a 'diabetic foot team' (81.6{\%}) and the support in 'self-management' (81.0{\%}) and low on 'patient involvement' (26.8{\%}) and 'inspection of medical file' (28.0{\%}).Conclusions: This nationwide assessment reveals that the level of quality management in diabetes care varies between several subdomains in both diabetes care groups and outpatient clinics.",
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Diabetes quality management in Dutch care groups and outpatient clinics : A cross-sectional study. / Campmans-Kuijpers, Marjo J E; Baan, C.A.; Lemmens, Lidwien C; Rutten, Guy E H M.

In: BMC Research Notes, Vol. 7, 497, 07.08.2014.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Diabetes quality management in Dutch care groups and outpatient clinics

T2 - A cross-sectional study

AU - Campmans-Kuijpers, Marjo J E

AU - Baan, C.A.

AU - Lemmens, Lidwien C

AU - Rutten, Guy E H M

PY - 2014/8/7

Y1 - 2014/8/7

N2 - Background: In recent years, most Dutch general practitioners started working under the umbrella of diabetes care groups, responsible for the organisation and coordination of diabetes care. The quality management of these new organisations receives growing interest, although its association with quality of diabetes care is yet unclear. The best way to measure quality management is unknown and it has not yet been studied at the level of outpatient clinics or care groups. We aimed to assess quality management of type 2 diabetes care in care groups and outpatient clinics.Results: Quality management was measured with online questionnaires, containing six domains (see below). They were divided into 28 subdomains, with 59 (care groups) and 57 (outpatient clinics) questions respectively. The mean score of the domains reflects the overall score (0-100%) of an organisation. Two quality managers of all Dutch care groups and outpatient clinics were invited to fill out the questionnaire.Sixty care groups (response rate 61.9%) showed a mean score of 59.6% (CI 57.1-62.1%). The average score in 52 outpatient clinics (response rate 50.0%) was 61.9% (CI 57.5-66.8%).Mean scores on the six domains for care groups and outpatient clinics respectively were: 'organisation of care' 71.9% (CI 68.8-74.9%), 76.8% (CI 72.8-80.7%); 'multidisciplinary teamwork' 67.1% (CI 62.4-71.9%), 71.5% (CI 65.3-77.8%); 'patient centeredness' 46.7% (CI 42.6-50.7%), 62.5% (CI 57.7-67.2%); 'performance management' 63.3% (CI 61.2-65.3%), 50.9% (CI 44.2-57.5%); 'quality improvement policy' 52.6% (CI 49.2-56.1%), 50.9% (CI 44.6-57.3%); and 'management strategies' 56.0% (CI 51.4-60.7%), 59.0% (CI 52.8-65.2%). On subdomains, care groups scored highest on 'care program' (83.3%) and 'measured outcomes' (98.3%) and lowest on 'patient safety' (15.1%) and 'patient involvement' (17.7%). Outpatient clinics scored high on the presence of a 'diabetic foot team' (81.6%) and the support in 'self-management' (81.0%) and low on 'patient involvement' (26.8%) and 'inspection of medical file' (28.0%).Conclusions: This nationwide assessment reveals that the level of quality management in diabetes care varies between several subdomains in both diabetes care groups and outpatient clinics.

AB - Background: In recent years, most Dutch general practitioners started working under the umbrella of diabetes care groups, responsible for the organisation and coordination of diabetes care. The quality management of these new organisations receives growing interest, although its association with quality of diabetes care is yet unclear. The best way to measure quality management is unknown and it has not yet been studied at the level of outpatient clinics or care groups. We aimed to assess quality management of type 2 diabetes care in care groups and outpatient clinics.Results: Quality management was measured with online questionnaires, containing six domains (see below). They were divided into 28 subdomains, with 59 (care groups) and 57 (outpatient clinics) questions respectively. The mean score of the domains reflects the overall score (0-100%) of an organisation. Two quality managers of all Dutch care groups and outpatient clinics were invited to fill out the questionnaire.Sixty care groups (response rate 61.9%) showed a mean score of 59.6% (CI 57.1-62.1%). The average score in 52 outpatient clinics (response rate 50.0%) was 61.9% (CI 57.5-66.8%).Mean scores on the six domains for care groups and outpatient clinics respectively were: 'organisation of care' 71.9% (CI 68.8-74.9%), 76.8% (CI 72.8-80.7%); 'multidisciplinary teamwork' 67.1% (CI 62.4-71.9%), 71.5% (CI 65.3-77.8%); 'patient centeredness' 46.7% (CI 42.6-50.7%), 62.5% (CI 57.7-67.2%); 'performance management' 63.3% (CI 61.2-65.3%), 50.9% (CI 44.2-57.5%); 'quality improvement policy' 52.6% (CI 49.2-56.1%), 50.9% (CI 44.6-57.3%); and 'management strategies' 56.0% (CI 51.4-60.7%), 59.0% (CI 52.8-65.2%). On subdomains, care groups scored highest on 'care program' (83.3%) and 'measured outcomes' (98.3%) and lowest on 'patient safety' (15.1%) and 'patient involvement' (17.7%). Outpatient clinics scored high on the presence of a 'diabetic foot team' (81.6%) and the support in 'self-management' (81.0%) and low on 'patient involvement' (26.8%) and 'inspection of medical file' (28.0%).Conclusions: This nationwide assessment reveals that the level of quality management in diabetes care varies between several subdomains in both diabetes care groups and outpatient clinics.

KW - Ambulatory Care Facilities

KW - Cross-Sectional Studies

KW - Diabetes Mellitus, Type 2/therapy

KW - Group Processes

KW - Humans

KW - Netherlands

KW - Quality of Health Care

KW - Reproducibility of Results

KW - Surveys and Questionnaires

U2 - 10.1186/1756-0500-7-497

DO - 10.1186/1756-0500-7-497

M3 - Article

VL - 7

JO - BMC Research Notes

JF - BMC Research Notes

SN - 1756-0500

M1 - 497

ER -