De implementatie van de NDF Zorgstandaard Diabetes: onderzoek onder zorgprofessionals en patiënten in het kader van het Nationaal Actieprogramma Diabetes

Raaijmakers, L.G.M.; Bagchus, Charlotte; Martens, Mark; Jonkers, Roelof; Kremers, Stef

doi:10.1007/s12467-011-0125-1

Cited by 2 publications

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“…Participating professionals were selected based on their primary role in diabetes care, as described in the Care Standard [20]. Participants were randomly selected from a database of a previous quantitative study we conducted among health care professionals in the Netherlands [38]. In the questionnaire of that particular study participants were asked whether they were willing to participate in future research on the topic.…”

Section: Methodsmentioning

confidence: 99%

Perceived facilitators and barriers in diabetes care: a qualitative study among health care professionals in the Netherlands

Raaijmakers

Hamers

Martens³

et al. 2013

BMC Fam Pract

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BackgroundThe need to understand barriers to the implementation of health care innovations in daily practice has been widely documented, but perceived facilitators and barriers in diabetes care by Dutch health care professionals remain unknown. The aim of this study was to investigate these factors among health care professionals (HCPs) using a qualitative research design.MethodsData were collected from 18 semi-structured interviews with HCPs from all professions relevant to diabetes care. The interviews were recorded and transcribed verbatim and the data were analyzed using NVivo 8.0.ResultsMajor facilitators were the more prominent role of the practice nurses and diabetes nurses in diabetes care, benchmarking, the Care Standard (CS) of the Netherlands Diabetes federation and multidisciplinary collaboration, although collaboration with certain professional groups (i.e. dieticians, physical therapists and pharmacists), as well as the collaboration between primary and secondary care, could still be improved. The bundled payment system for the funding of diabetes care and the role of the health insurers were perceived as major barriers within the health care system. Other important barriers were reported to be the lack of motivation among patients and the lack of awareness of lifestyle programs and prevention initiatives for diabetes patients among professionals.ConclusionsOrganizational changes in diabetes care, as a result of the increased attention given to management continuity of care, have led to an increased need for multidisciplinary collaboration within and between health care sectors (e.g. public health, primary care and secondary care). To date, daily routines for shared care are still sub-optimal and improvements in facilities, such as registration systems, should be implemented to further optimize communication and exchange of information.

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Section: Methodsmentioning

confidence: 99%

Perceived facilitators and barriers in diabetes care: a qualitative study among health care professionals in the Netherlands

Raaijmakers

Hamers

Martens³

et al. 2013

BMC Fam Pract

View full text Add to dashboard Cite

show abstract

“…These Care Groups often appear to develop their own care standards and guidelines, but these are typically based on the CS and other evidence-based guidelines. Professionals do not always seem to be aware of this approach, which results in a low reported familiarity with the CS, whereas the care is still delivered according to the CS in routine practice [ 23 ]. Involving these Care Groups in future studies assessing perceptions regarding the Care Standard, similar to studies on the Bundled Payment system in the Netherlands [ 24 ], would be very useful.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Dutch health care professionals regarding the Care Standard for diabetes

Raaijmakers

Martens²,

Bagchus

et al. 2013

BMC Res Notes

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BackgroundThe Netherlands can be regarded as unique in the use of the Netherlands Diabetes Federation (NDF) Care Standard (CS) for diabetes. The need to understand the barriers obstructing optimal health care, the dissemination and implementation of health care innovations into daily practice and the extent to which health care professionals actually adhere to guidelines has been emphasized repeatedly. Therefore, the aim of the present study was to suggest ways to optimize the implementation of the CS by examining the perceptions of Dutch health care professionals regarding the CS and the barriers to using it.MethodsA cross-sectional questionnaire survey was conducted among health care professionals (N = 1547) in 2010.ResultsA total of 39.6% (N = 1323) of the participating health care professionals possessed the CS. Only 15.5% of the professionals who were to some extent familiar with the CS (N = 1100) described themselves as working in complete accordance with the CS. The majority (83.9%) thought the CS contributed greatly to ensuring the quality of care; the judgment on the feasibility of working in accordance with the CS was positive (mean = 3.9 on a 5-point Likert scale). However, professionals tended to perceive the guidelines issued by the own professional association as the norm for high quality diabetes care, rather than the CS. The main barrier to using the CS was the lack of effective lifestyle interventions (or access to them) to provide care for people with diabetes or those at increased risk for the disorder.ConclusionsA limited percentage of health care professionals were found to posses the CS. It is questionable whether possession of the CS is a prerequisite for delivering high quality care. Overall, professionals were largely positive about the CS, although only a minority indicated they were working in complete accordance with it. Professionals and professional organizations should be further educated about the content of the CS and especially its added value with respect to the guidelines for their own professional group, in terms of the multidisciplinary approach to diabetes care. Furthermore, attention should be given to the most important perceived barriers, to facilitate adherence to the CS.

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De implementatie van de NDF Zorgstandaard Diabetes: onderzoek onder zorgprofessionals en patiënten in het kader van het Nationaal Actieprogramma Diabetes

Cited by 2 publications

References 0 publications

Perceived facilitators and barriers in diabetes care: a qualitative study among health care professionals in the Netherlands

Perceived facilitators and barriers in diabetes care: a qualitative study among health care professionals in the Netherlands

Perceptions of Dutch health care professionals regarding the Care Standard for diabetes

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