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 |