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Main Title: Integrated diabetes care delivered by patients
Subtitle: a case study from Bulgaria
Author(s): Struckmann, Verena
Barbarella, Francesco
Dimova, Antoniya
Ginneken, Ewout van
Type: Article
Language Code: en
Abstract: Increasing numbers of persons are living with multiple chronic diseases and unmet medical needs in Bulgaria. The Bulgarian ‘Diabetic care’ non-profit (DCNPO) programme aims to provide comprehensive integrated care focusing on people with diabetes and their co-morbidities. Methods: The DCNPO programme was selected as one of eight ‘high potential’ programmes in the Innovating Care for People with Multiple Chronic Conditions (ICARE4EU) project, covering 31 European countries. Data was first gathered with a questionnaire after which semi-structured interviews with project staff and participants were conducted during a site visit. Results: The programme trains diabetic patients to act as carers, case managers, self-management trainers and health system navigators for diabetic patients and their family. The programme improved care coordination and patient-centered care by offering free care delivered by a multidisciplinary team. It facilitates the collaboration between patients, volunteers, health providers and the community. Internal evaluations demonstrate reduced hospital admissions and avoidable amputations, with consequent cost savings for the health care system. Conclusion: Integrated care provided by volunteering patients can empower people suffering from diabetes and their co-morbidities and address health and social inequalities in resource-poor settings. It can also contribute to an increased trust and improved satisfaction among vulnerable patients with complex care needs.
Issue Date: 2017
Date Available: 9-Nov-2017
DDC Class: 610 Medizin und Gesundheit
658 Allgemeines Management
Subject(s): integrated diabetes care
multiple chronic diseases
health and social care
coordination of care
free care
Sponsor/Funder: DFG, TH 662/19-1, Open Access Publizieren 2017 - 2018 / Technische Universität Berlin
Journal Title: International Journal of Integrated Care
Publisher: Igitur
Publisher Place: Utrecht
Volume: 17
Issue: 1
Article Number: 6
Publisher DOI: 10.5334/ijic.2475
EISSN: 1568-4156
Appears in Collections:FG Management im Gesundheitswesen » Publications

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