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The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial

BACKGROUND: More than half of the patients with type 2 diabetes (T2DM) patients are diagnosed with one or more comorbid disorders. They can participate in several single-disease oriented disease management programs, which may lead to fragmented care because these programs are not well prepared for c...

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Autores principales: Versnel, Nathalie, Welschen, Laura MC, Baan, Caroline A, Nijpels, Giel, Schellevis, François G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3142502/
https://www.ncbi.nlm.nih.gov/pubmed/21729265
http://dx.doi.org/10.1186/1471-2296-12-68
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author Versnel, Nathalie
Welschen, Laura MC
Baan, Caroline A
Nijpels, Giel
Schellevis, François G
author_facet Versnel, Nathalie
Welschen, Laura MC
Baan, Caroline A
Nijpels, Giel
Schellevis, François G
author_sort Versnel, Nathalie
collection PubMed
description BACKGROUND: More than half of the patients with type 2 diabetes (T2DM) patients are diagnosed with one or more comorbid disorders. They can participate in several single-disease oriented disease management programs, which may lead to fragmented care because these programs are not well prepared for coordinating care between programs. Comorbid patients are therefore at risk for suboptimal treatment, unsafe care, inefficient use of health care services and unnecessary costs. Case management is a possible model to counteract fragmented care for comorbid patients. It includes evidence-based optimal care, but is tailored to the individual patients' preferences. The objective of this study is to examine the effectiveness of a case management program, in addition to a diabetes management program, on the quality of care for comorbid T2DM patients. METHODS/DESIGN: The study is a randomized controlled trial among patients with T2DM and at least one comorbid chronic disease (N = 230), who already participate in a diabetes management program. Randomization will take place at the level of the patients in general practices. Trained practice nurses (case managers) will apply a case management program in addition to the diabetes management program. The case management intervention is based on the Guided Care model and includes six elements; assessing health care needs, planning care, create access to other care providers and community resources, monitoring, coordinating care and recording of all relevant information. Patients in the control group will continue their participation in the diabetes management program and receive care-as-usual from their general practitioner and other care providers. DISCUSSION: We expect that the case management program, which includes better structured care based on scientific evidence and adjusted to the patients' needs and priorities, will improve the quality of care coordination from both the patients' and caregivers' perspective and will result in less consumption of health care services. TRIAL REGISTRATION: Netherlands Trial Register (NTR): NTR1847
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spelling pubmed-31425022011-07-24 The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial Versnel, Nathalie Welschen, Laura MC Baan, Caroline A Nijpels, Giel Schellevis, François G BMC Fam Pract Study Protocol BACKGROUND: More than half of the patients with type 2 diabetes (T2DM) patients are diagnosed with one or more comorbid disorders. They can participate in several single-disease oriented disease management programs, which may lead to fragmented care because these programs are not well prepared for coordinating care between programs. Comorbid patients are therefore at risk for suboptimal treatment, unsafe care, inefficient use of health care services and unnecessary costs. Case management is a possible model to counteract fragmented care for comorbid patients. It includes evidence-based optimal care, but is tailored to the individual patients' preferences. The objective of this study is to examine the effectiveness of a case management program, in addition to a diabetes management program, on the quality of care for comorbid T2DM patients. METHODS/DESIGN: The study is a randomized controlled trial among patients with T2DM and at least one comorbid chronic disease (N = 230), who already participate in a diabetes management program. Randomization will take place at the level of the patients in general practices. Trained practice nurses (case managers) will apply a case management program in addition to the diabetes management program. The case management intervention is based on the Guided Care model and includes six elements; assessing health care needs, planning care, create access to other care providers and community resources, monitoring, coordinating care and recording of all relevant information. Patients in the control group will continue their participation in the diabetes management program and receive care-as-usual from their general practitioner and other care providers. DISCUSSION: We expect that the case management program, which includes better structured care based on scientific evidence and adjusted to the patients' needs and priorities, will improve the quality of care coordination from both the patients' and caregivers' perspective and will result in less consumption of health care services. TRIAL REGISTRATION: Netherlands Trial Register (NTR): NTR1847 BioMed Central 2011-07-05 /pmc/articles/PMC3142502/ /pubmed/21729265 http://dx.doi.org/10.1186/1471-2296-12-68 Text en Copyright ©2011 Versnel et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Versnel, Nathalie
Welschen, Laura MC
Baan, Caroline A
Nijpels, Giel
Schellevis, François G
The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial
title The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial
title_full The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial
title_fullStr The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial
title_full_unstemmed The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial
title_short The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial
title_sort effectiveness of case management for comorbid diabetes type 2 patients; the casco study. design of a randomized controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3142502/
https://www.ncbi.nlm.nih.gov/pubmed/21729265
http://dx.doi.org/10.1186/1471-2296-12-68
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