Published in:
01-04-2018 | Original Article
No selection, but higher satisfaction of people participating in the disease management programme diabetes type 2 in Germany
Authors:
Christiane Kellner, Nadine Kuniss, Christof Kloos, Ulrich Alfons Müller, Nicolle Müller
Published in:
Acta Diabetologica
|
Issue 4/2018
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Abstract
Aims
We analysed metabolic control, complications and satisfaction in people with and without DMP participation.
Methods
We retrospectively analysed the German data of the GUIDANCE study. The general practices included (n = 38) were selected from the physicians’ register of the Thuringian Association of Statutory Health Insurance Physicians. Half of the practices (n = 19) participated in the DMP “Diabetes mellitus type 2”.
Results
Nine hundred and fifty-nine people were included in the analysis. Of these, 541 (56.4%) were enrolled in the DMP and 418 (43.6%) not. There was no difference between the two groups (DMP vs. no DMP) regarding age (67.8 vs. 67.6y), gender (female 50.6 vs. 52.2%), diabetes duration (9.8 vs. 9.5y), BMI (31.3 vs. 30.7 kg/m2), HbA1c (7.2 vs. 7.2%), systolic blood pressure (139 vs. 140 mm Hg) or antihypertensive drug (89.5 vs. 88.8%). More DMP participants had regular screening of diabetic late complications: retinopathy 84.7 versus 69.9% (p < 0.001); polyneuropathy 93.0 versus 52.6% (p < 0.001). Chronic kidney disease was more frequent in DMP participants (15.0 vs. 9.3%, p = 0.005). Treatment satisfaction was higher in participants enrolled in the DMP (31.1 vs. 30.0; p = 0.002).
Conclusions
DMP participants do not exhibit positive selection. Process quality and treatment satisfaction are higher in DMP participants.