Quality of diabetes care in Dutch care groups

no differences between diabetes patients with and without co-morbidity

Simone R. de Bruin*, Sandra H. van Oostrom, Hanneke W. Drewes, Janneke T. de Jong-van Til, C.A. Baan, Jeroen N. Struijs

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Objective: To evaluate the relationship between presence and nature of co-morbidity and quality of care for diabetes patients enrolled in diabetes disease management programmes provided by care groups.

Methods: We performed an observational study within eight Dutch diabetes care groups. Data from patient record systems of care groups and patient questionnaires were used to determine quality of care. Quality of care was measured as provision of the recommended diabetes care, patients' achievement of recommended clinical outcomes and patients' perception of coordination and integration of care.

Results: 527 diabetes patients without and 1187 diabetes patients with co-morbidity were included. Of the co-morbid patients, 7.8% had concordant co-morbid conditions only, 63.8% had discordant co-morbid diseases only and 28.4% had both types of conditions. Hardly any differences were observed between patients with and without co-morbidity in terms of provided care, achievement of clinical outcomes and perceived coordination and integration of care.

Conclusions: Our study implies that care groups are able to provide similar quality of diabetes care for diabetes patients with and without co-morbidity. Considering the expected developments regarding additional disease management programmes in care groups, it is of importance to monitor quality of care, including patient experiences, for all chronic diseases. It will then become clear whether accountable provider-led organisations such as care groups are able to ensure quality of care for the increasing number of patients with multiple chronic conditions.

Original languageEnglish
Article number057
Number of pages12
JournalInternational Journal of Integrated Care
Volume13
Publication statusPublished - 2013
Externally publishedYes

Keywords

  • bundled payment
  • care groups
  • co-morbidity
  • diabetes
  • disease management
  • integrated care
  • quality of care
  • MULTIPLE CHRONIC CONDITIONS
  • CHRONIC ILLNESS CARE
  • OF-CARE
  • COMORBIDITY
  • PREVALENCE
  • IMPACT
  • MULTIMORBIDITY
  • COORDINATION
  • NETHERLANDS
  • POPULATION

Cite this

de Bruin, S. R., van Oostrom, S. H., Drewes, H. W., de Jong-van Til, J. T., Baan, C. A., & Struijs, J. N. (2013). Quality of diabetes care in Dutch care groups: no differences between diabetes patients with and without co-morbidity. International Journal of Integrated Care, 13, [057].
de Bruin, Simone R. ; van Oostrom, Sandra H. ; Drewes, Hanneke W. ; de Jong-van Til, Janneke T. ; Baan, C.A. ; Struijs, Jeroen N. / Quality of diabetes care in Dutch care groups : no differences between diabetes patients with and without co-morbidity. In: International Journal of Integrated Care. 2013 ; Vol. 13.
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abstract = "Objective: To evaluate the relationship between presence and nature of co-morbidity and quality of care for diabetes patients enrolled in diabetes disease management programmes provided by care groups.Methods: We performed an observational study within eight Dutch diabetes care groups. Data from patient record systems of care groups and patient questionnaires were used to determine quality of care. Quality of care was measured as provision of the recommended diabetes care, patients' achievement of recommended clinical outcomes and patients' perception of coordination and integration of care.Results: 527 diabetes patients without and 1187 diabetes patients with co-morbidity were included. Of the co-morbid patients, 7.8{\%} had concordant co-morbid conditions only, 63.8{\%} had discordant co-morbid diseases only and 28.4{\%} had both types of conditions. Hardly any differences were observed between patients with and without co-morbidity in terms of provided care, achievement of clinical outcomes and perceived coordination and integration of care.Conclusions: Our study implies that care groups are able to provide similar quality of diabetes care for diabetes patients with and without co-morbidity. Considering the expected developments regarding additional disease management programmes in care groups, it is of importance to monitor quality of care, including patient experiences, for all chronic diseases. It will then become clear whether accountable provider-led organisations such as care groups are able to ensure quality of care for the increasing number of patients with multiple chronic conditions.",
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author = "{de Bruin}, {Simone R.} and {van Oostrom}, {Sandra H.} and Drewes, {Hanneke W.} and {de Jong-van Til}, {Janneke T.} and C.A. Baan and Struijs, {Jeroen N.}",
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Quality of diabetes care in Dutch care groups : no differences between diabetes patients with and without co-morbidity. / de Bruin, Simone R.; van Oostrom, Sandra H.; Drewes, Hanneke W.; de Jong-van Til, Janneke T.; Baan, C.A.; Struijs, Jeroen N.

In: International Journal of Integrated Care, Vol. 13, 057, 2013.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Quality of diabetes care in Dutch care groups

T2 - no differences between diabetes patients with and without co-morbidity

AU - de Bruin, Simone R.

AU - van Oostrom, Sandra H.

AU - Drewes, Hanneke W.

AU - de Jong-van Til, Janneke T.

AU - Baan, C.A.

AU - Struijs, Jeroen N.

PY - 2013

Y1 - 2013

N2 - Objective: To evaluate the relationship between presence and nature of co-morbidity and quality of care for diabetes patients enrolled in diabetes disease management programmes provided by care groups.Methods: We performed an observational study within eight Dutch diabetes care groups. Data from patient record systems of care groups and patient questionnaires were used to determine quality of care. Quality of care was measured as provision of the recommended diabetes care, patients' achievement of recommended clinical outcomes and patients' perception of coordination and integration of care.Results: 527 diabetes patients without and 1187 diabetes patients with co-morbidity were included. Of the co-morbid patients, 7.8% had concordant co-morbid conditions only, 63.8% had discordant co-morbid diseases only and 28.4% had both types of conditions. Hardly any differences were observed between patients with and without co-morbidity in terms of provided care, achievement of clinical outcomes and perceived coordination and integration of care.Conclusions: Our study implies that care groups are able to provide similar quality of diabetes care for diabetes patients with and without co-morbidity. Considering the expected developments regarding additional disease management programmes in care groups, it is of importance to monitor quality of care, including patient experiences, for all chronic diseases. It will then become clear whether accountable provider-led organisations such as care groups are able to ensure quality of care for the increasing number of patients with multiple chronic conditions.

AB - Objective: To evaluate the relationship between presence and nature of co-morbidity and quality of care for diabetes patients enrolled in diabetes disease management programmes provided by care groups.Methods: We performed an observational study within eight Dutch diabetes care groups. Data from patient record systems of care groups and patient questionnaires were used to determine quality of care. Quality of care was measured as provision of the recommended diabetes care, patients' achievement of recommended clinical outcomes and patients' perception of coordination and integration of care.Results: 527 diabetes patients without and 1187 diabetes patients with co-morbidity were included. Of the co-morbid patients, 7.8% had concordant co-morbid conditions only, 63.8% had discordant co-morbid diseases only and 28.4% had both types of conditions. Hardly any differences were observed between patients with and without co-morbidity in terms of provided care, achievement of clinical outcomes and perceived coordination and integration of care.Conclusions: Our study implies that care groups are able to provide similar quality of diabetes care for diabetes patients with and without co-morbidity. Considering the expected developments regarding additional disease management programmes in care groups, it is of importance to monitor quality of care, including patient experiences, for all chronic diseases. It will then become clear whether accountable provider-led organisations such as care groups are able to ensure quality of care for the increasing number of patients with multiple chronic conditions.

KW - bundled payment

KW - care groups

KW - co-morbidity

KW - diabetes

KW - disease management

KW - integrated care

KW - quality of care

KW - MULTIPLE CHRONIC CONDITIONS

KW - CHRONIC ILLNESS CARE

KW - OF-CARE

KW - COMORBIDITY

KW - PREVALENCE

KW - IMPACT

KW - MULTIMORBIDITY

KW - COORDINATION

KW - NETHERLANDS

KW - POPULATION

M3 - Article

VL - 13

JO - International Journal of Integrated Care

JF - International Journal of Integrated Care

SN - 1568-4156

M1 - 057

ER -