Effectiveness of the introduction of a Chronic Care Model-based program for type 2 diabetes in Belgium.

BMC Health Services Research
Patricia SunaertAn De Sutter

Abstract

During a four-year action research project (2003-2007), a program targeting all type 2 diabetes patients was implemented in a well-defined geographical region in Belgium. The implementation of the program resulted in an increase of the overall Assessment of Chronic Illness Care (ACIC) score from 1.45 in 2003 to 5.5 in 2007. The aim of the follow-up study in 2008 was to assess the effect of the implementation of Chronic Care Model (CCM) elements on the quality of diabetes care in a country where the efforts to adapt primary care to a more chronic care oriented system are still at a starting point. A quasi-experimental study design involving a control region with comparable geographical and socio-economic characteristics and health care facilities was used to evaluate the effect of the intervention in the region. In collaboration with the InterMutualistic Agency (IMA) and the laboratories from both regions a research database was set up. Study cohorts in both regions were defined by using administrative data from the Sickness Funds and selected from the research database. A set of nine quality indicators was defined based on current scientific evidence. Data were analysed by an institution experienced in longitudinal data analysi...Continue Reading

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Citations

Jun 5, 2013·Social Work in Public Health·Betty Tai, Nora D Volkow
Jan 17, 2016·BMC Health Services Research·Loraine BusettoHubertus Johannes Maria Vrijhoef
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Dec 14, 2018·Journal of Rural Medicine : JRM·Ryuichi Ohta, Chikako Mukoyama
Feb 9, 2017·European Journal of Public Health·Francesco ProfiliPaolo Francesconi

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