ArticleInternational journal of integrated care2008
Diversity in diabetes care programmes and views on high quality diabetes care: are we in need of a standardized framework?
Article in International journal of integrated care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Results from the CLUES study: a cluster randomized trial for the evaluation of cardiovascular guideline implementation in primary care in Spain.BMC health services research · 2018Trial
- Interdisciplinary diabetes care teams operating on the interface between primary and specialty care are associated with improved outcomes of care: findings from the Leuven Diabetes Project.BMC health services research · 2009Trial
- Identifying associations between health services operational factors and health experience for patients with type 2 diabetes in Iran.BMC health services research · 2021Article
- Quality indicators in type 2 diabetes patient care: analysis per care-complexity level.Diabetology & metabolic syndrome · 2019Article
- Impact of a primary healthcare quality improvement program on diabetes in Canada: evaluation of the Quality Improvement and Innovation Partnership (QIIP).BMJ open diabetes research & care · 2017Article
- Case study of evaluations that go beyond clinical outcomes to assess quality improvement diabetes programmes using the Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE).Journal of evaluation in clinical practice · 2016Article
- Integrated healthcare for chronically ill. Reflections on the gap between science and practice and how to bridge the gap.International journal of integrated care · 2013Article
- Validation of an information-motivation-behavioral skills model of self-care among Chinese adults with type 2 diabetes.BMC public health · 2013Article
- Redesigning an intensive insulin service for patients with type 1 diabetes: a patient consultation exercise.Patient preference and adherence · 2013Article
- Blood pressure and lipid management fall far short in persons with type 2 diabetes: results from the DIAB-CORE Consortium including six German population-based studies.Cardiovascular diabetology · 2012Article
- Counting on commitment; the quality of primary care-led diabetes management in a system with minimal incentives.BMC health services research · 2011Article
- An information-motivation-behavioral skills analysis of diet and exercise behavior in Puerto Ricans with diabetes.Journal of health psychology · 2010Article
- Looking back whilst moving forward: observations on the science and application of integrated care over the past 10 years and predictions for what the next 10 years may hold.International journal of integrated care · 2010Article
- Reasons of general practitioners for not prescribing lipid-lowering medication to patients with diabetes: a qualitative study.BMC family practice · 2009Article
- A cluster randomized trial to improve adherence to evidence-based guidelines on diabetes and reduce clinical inertia in primary care physicians in Belgium: study protocol [NTR 1369].Implementation science : IS · 2008Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore views on high quality diabetes care based on an analysis of existing diversity in diabetes care programmes and related quality indicators.
methodsA review of systematic reviews was performed. Four databases (MEDLINE database of the National Library of Medicine, COCHRANE database of Systematic Reviews, the Cumulative Index to Nursing and Allied Health Database-CINAHL and Pre-Cinahl) were searched for English review articles published between November 1989 and December 2006. Methodological quality of the articles was assessed. A standardized extraction form was used to assess features of diabetes care programmes and diabetes quality indicators with special reference to those aspects that hinder the conceptualization of high quality diabetes care. Based on these findings the relationship between diversity in diabetes care programmes and the conceptualization of high quality diabetes care was further explored.
resultsTwenty-one systematic reviews met the inclusion criteria representing a total of 185 diabetes care programmes. Six elements were identified to produce a picture of diversity in diabetes care programmes and hinder their standardization: 1) the variety and relative absence of conceptual backgrounds in diabetes care programmes, 2) confusion over what is considered a constituent of a diabetes care program and components of the implementation strategy, 3) large variety in type of diabetes care programmes, settings and related goals, 4) a large number and variety in interventions and quality indicators used, 5) no conclusive evidence on effectiveness, 6) no systematic results on costs.
conclusionsThere is large diversity in diabetes care programmes and related quality indicators. From this review and our analysis on the mutual relationship between diversity in diabetes care programmes and the conceptualization of high quality diabetes care, we conclude that no single conceptual framework used to date provides a comprehensive overview of attributes of high quality diabetes care linked to quality indicators at the structure, process and outcome level. There is a need for a concerted action to develop a standardized framework on high quality diabetes care that is complemented by a practical tool to provide guidance to the design, implementation and evaluation of diabetes care programmes.
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