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

Emerging trends in diabetes care practice and policy in The Netherlands: a key informants study
Emerging trends in diabetes care practice and policy in The Netherlands: a key informants study
Background: Effective self-management is viewed as the cornerstone of diabetes care. Many interventions and policies are available to support self-management, but challenges remain regarding reaching specific subgroups and effectively changing lifestyles. Here, our aim was to identify emerging policies and practices regarding diabetes care in The Netherlands.

Methods: Study with a purposeful sample of key informants, covering a range of stakeholders. They were individually interviewed, using a flexible and semi-structured approach. A thematic analysis was done, guided by an international framework, which resulted in 28 themes.

Results: After a decade of investing in diabetes care in The Netherlands, stakeholders seem to have shifted their focus towards a view that effective self-management is expected in most people. The expectation is that individuals’ personal networks, community organizations and emerging information technologies will facilitate this. If support of self-management is required, this has to be provided by local coalitions of health and social care organizations, with involvement of municipalities. Poor reach in specific subgroups of the population, such as economically deprived people, is recognized but has not led to targeted policies.

Conclusions: The role of healthcare providers in supporting patients’ self-management in diabetes care seems to be changing in The Netherlands.
diabetes care, self-management, health policy, the netherlands
1756-0500
1-9
Wensing, Michel
8702046c-6c87-404a-81a7-fcfcdebfb9cc
Koetsenruijter, Jan
51d2c2c2-cdb2-4df1-8071-aeb911501773
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Portillo, Maria
f913b5c5-b949-48f2-b1d0-eb7505484d5c
van Lieshout, Jan
168646bd-da98-4ef9-8c21-b913981a1013
Wensing, Michel
8702046c-6c87-404a-81a7-fcfcdebfb9cc
Koetsenruijter, Jan
51d2c2c2-cdb2-4df1-8071-aeb911501773
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Portillo, Maria
f913b5c5-b949-48f2-b1d0-eb7505484d5c
van Lieshout, Jan
168646bd-da98-4ef9-8c21-b913981a1013

Wensing, Michel, Koetsenruijter, Jan, Rogers, Anne, Portillo, Maria and van Lieshout, Jan (2014) Emerging trends in diabetes care practice and policy in The Netherlands: a key informants study. BMC Research Notes, 7 (693), 1-9. (doi:10.1186/1756-0500-7-693). (PMID:25286928)

Record type: Article

Abstract

Background: Effective self-management is viewed as the cornerstone of diabetes care. Many interventions and policies are available to support self-management, but challenges remain regarding reaching specific subgroups and effectively changing lifestyles. Here, our aim was to identify emerging policies and practices regarding diabetes care in The Netherlands.

Methods: Study with a purposeful sample of key informants, covering a range of stakeholders. They were individually interviewed, using a flexible and semi-structured approach. A thematic analysis was done, guided by an international framework, which resulted in 28 themes.

Results: After a decade of investing in diabetes care in The Netherlands, stakeholders seem to have shifted their focus towards a view that effective self-management is expected in most people. The expectation is that individuals’ personal networks, community organizations and emerging information technologies will facilitate this. If support of self-management is required, this has to be provided by local coalitions of health and social care organizations, with involvement of municipalities. Poor reach in specific subgroups of the population, such as economically deprived people, is recognized but has not led to targeted policies.

Conclusions: The role of healthcare providers in supporting patients’ self-management in diabetes care seems to be changing in The Netherlands.

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More information

Accepted/In Press date: 2 October 2014
Published date: 7 October 2014
Keywords: diabetes care, self-management, health policy, the netherlands
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 386059
URI: http://eprints.soton.ac.uk/id/eprint/386059
ISSN: 1756-0500
PURE UUID: 65fe16d1-183f-4422-b915-78acf5c8c8d6
ORCID for Maria Portillo: ORCID iD orcid.org/0000-0003-1583-6612

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Date deposited: 27 Jan 2016 16:49
Last modified: 15 Mar 2024 03:51

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Contributors

Author: Michel Wensing
Author: Jan Koetsenruijter
Author: Anne Rogers
Author: Maria Portillo ORCID iD
Author: Jan van Lieshout

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