Abstract
BackgroundEffective 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.MethodsStudy 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.ResultsAfter 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.ConclusionsThe role of healthcare providers in supporting patients’ self-management in diabetes care seems to be changing in The Netherlands.
Highlights
This study in key informants provided a view on emerging practices and policies in diabetes care in The Netherlands in the year 2013, with a particular focus on self-management of people with diabetes
Effective self-management is viewed as the cornerstone of diabetes care
If professional support of self-management is required, this has to be provided by local coalitions of health and social care organizations, with involvement of municipalities
Summary
Effective self-management is viewed as the cornerstone of diabetes care. Our aim was to identify emerging policies and practices regarding diabetes care in The Netherlands. Life style interventions can effectively reduce the incidence of diabetes type 2 in high-risk patients [2]. A range of interventions and policies are being applied to support self-management in people with diabetes. In The Netherlands, diabetes care is largely provided in primary care, involving physicians, nurses, dieticians, physiotherapists and other professionals. About four different disciplines of healthcare providers were involved in the care of a patient with diabetes [3]. Patients’ relatives and community organizations are viewed as having a role to play in the self-management of people with diabetes
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