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Table 2 Themes which were identified in the key informant interviews

From: Emerging trends in diabetes care practice and policy in The Netherlands: a key informants study

Themes in the international framework

Themes that are specific for The Netherlands

Macro level policies

National government delegates tasks to municipalities

Municipalities delegate tasks to local organizations

Municipalities delegate tasks to the individual and his/her network

Integration of healthcare, social care and prevention

Diabetes is regarded best practice example for chronic illness care

Recent changes in practices and local policies

Introduction of practice nurses in primary care

New reimbursement system for diabetes care

Policies for supporting local communities

Emergence of online patient education and counseling tools

Prevention of diabetes remains important

Rationale for changes in policy and practices

Promotion of ‘chronic care model’ to decision makers

Self-management of disease as way to improve quality of life

Containment of rising costs of health and social care

Health information technology as emerging market

Evidence on the impact of changes in practice

Changes in biomedical indicators of diabetes care quality

Poor reach of in specific subgroups

Factors influencing change of practice

Changes in primary care populations

Instruments for tailoring to individuals

Together self-management

Healthcare providers’ skills

Contextual factors

Financial incentives for primary care

Price of medication

Information technology

Deprivation not on national agenda

Role of stakeholders

Effective lobby by collaboration of stakeholder in diabetes care

Health insurers

Primary care

Municipalities