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首页> 外文期刊>Diabetes care >German diabetes disease management programs are appropriate for restructuring care according to the chronic care model: an evaluation with the patient assessment of chronic illness care instrument.
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German diabetes disease management programs are appropriate for restructuring care according to the chronic care model: an evaluation with the patient assessment of chronic illness care instrument.

机译：德国糖尿病疾病管理计划适用于根据慢性病护理模式进行的结构调整：用患者对慢性病护理工具的评估进行评估。

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OBJECTIVE: With the introduction of diabetes disease management programs (DMPs) in Germany, there is a necessity to evaluate whether patients receive care that is congruent to the Chronic Care Model (CCM) and evidence-based behavioral counseling. We examined differences as perceived and experienced by patients with type 2 diabetes between those enrolled in a DMP compared with patients receiving usual care in two federal states of Germany. RESEARCH DESIGN AND METHODS: A random, heterogeneous sample of 3,546 patients (59.3% female) received a mailed questionnaire from their regional health fund, including the German version of the Patient Assessment of Chonic Illness Care (PACIC) instrument, which had additional items for behavioral advice (5A). Two weeks later, a general reminder was sent out. RESULTS: A total of 1,532 questionnaires were returned (response rate 42.2%), and valid data could be obtained for 1,399 patients. Mean age of responders was 70.3 years, of which 53.6% were female. Overall, patients enrolled in a DMP scored significantly higher (3.21 of a possible 5) than patients not enrolled in a DMP (2.86) (P < 0.001). Significant differences in the same direction were found on all five subscales of the PACIC. For the 5A scales, similar differences were found for all five subscales plus the sum score (P < 0.001; mean for DMP = 3.08, mean for non-DMP = 2.78). CONCLUSIONS: DMPs, as currently established in primary care in Germany, may impact provided care significantly. The changes in daily practice that have been induced by the DMPs are recognized by patients as care that is more structured and that to a larger extent reflects the core elements of the CCM and evidence-based counseling compared with usual care.
机译：目的：随着德国引入糖尿病疾病管理计划（DMP），有必要评估患者是否接受与慢性护理模型（CCM）和循证行为咨询相适应的护理。我们检查了参加DMP的2型糖尿病患者与在德国两个联邦州接受常规护理的患者之间感知和体验的差异。研究设计与方法：随机，异质样本的3546名患者（女性占59.3％）从他们的地区卫生基金那里收到了邮寄的问卷，包括德语版的慢性病患者护理评估（PACIC）仪器，其中还有其他内容行为建议（5A）。两周后，发出了一般性提醒。结果：共返回问卷1,532份（回复率为42.2％），可获得有效数据1399例。应答者的平均年龄为70.3岁，其中女性为53.6％。总体而言，参加DMP的患者得分（可能为5分的3.21）比未参加DMP的患者得分高（2.86）（P <0.001）。在PACIC的所有五个子量表中，在同一方向上都存在显着差异。对于5A量表，所有五个子量表加上总分都发现了相似的差异（P <0.001; DMP的平均值= 3.08，非DMP的平均值= 2.78）。结论：目前在德国的初级保健中已建立的DMP可能会对所提供的护理产生重大影响。由DMP引起的日常操作变化被患者视为一种结构更为合理的护理，与常规护理相比，该护理在更大程度上反映了CCM和循证咨询的核心要素。

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