Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study ...
Abstract Background Type 2 diabetes (T2D) is an increasingly dominant disease. Interventions are more effective when carried out by a prepared and proactive team within an organised system — the integrated care (IC) model. The Chronic Care Model (CCM) provides guidance for its implementation, but scale-up of IC is challenging, and this hampers outcomes for T2D care. In this paper, we used the CCM to investigate the current implementation of IC in primary care in Flanders (Belgium) and its variability in different practice types. Methods Belgium contains three different primary-care practice ty... Mehr ...
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Dokumenttyp: | Datenquelle |
Erscheinungsdatum: | 2023 |
Verlag/Hrsg.: |
figshare
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Schlagwörter: | Medicine / Biotechnology / 59999 Environmental Sciences not elsewhere classified / FOS: Earth and related environmental sciences / 69999 Biological Sciences not elsewhere classified / FOS: Biological sciences / Science Policy |
Sprache: | unknown |
Permalink: | https://search.fid-benelux.de/Record/base-28970931 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | https://dx.doi.org/10.6084/m9.figshare.c.6588742 |
Abstract Background Type 2 diabetes (T2D) is an increasingly dominant disease. Interventions are more effective when carried out by a prepared and proactive team within an organised system — the integrated care (IC) model. The Chronic Care Model (CCM) provides guidance for its implementation, but scale-up of IC is challenging, and this hampers outcomes for T2D care. In this paper, we used the CCM to investigate the current implementation of IC in primary care in Flanders (Belgium) and its variability in different practice types. Methods Belgium contains three different primary-care practice types: monodisciplinary fee-for-service practices, multidisciplinary fee-for-service practices and multidisciplinary capitation-based practices. Disproportional sampling was used to select a maximum of 10 practices for each type in three Flemish regions, leading to a total of 66 practices. The study employed a mixed methods design whereby the Assessment of Chronic Illness Care (ACIC) was complemented with interviews with ...