• Preface Diabetes: a case study on strengthening health care for people with chronic diseases Monographic Section

    Maggini, Marina; Lombardo, Flavia; Caffari, Bruno; Giusti, Angela; Icks, Andrea; Lindström, Jaana; Rothe, Ulrike; Sørensen, Monica; Zaletel, Jelka
  • Quality indicators for diabetes prevention programs in health care targeted at people at high risk Monographic Section

    Lindström, Jaana; Wikström, Katja; Maggini, Marina; Icks, Andrea; Kuske, Silke; Rothe, Ulrike; Sørensen, Monica; Zaletel, Jelka

    Abstract in English:

    OBJECTIVE. Type 2 diabetes can be efficiently prevented by lifestyle intervention provided for people at high diabetes risk. The aim of this paper was to conduct a literature search on existing quality indicators for type 2 diabetes prevention and to collate and present a set of indicators that could be applied in European countries with different health care systems and cultures. METHODS. Scientific and grey literature was searched for relevant studies using electronic databases. We also hand searched previous systematic reviews and reference lists of relevant articles. RESULTS. The only publication identified was the report presenting the results from the IMAGE project. The IMAGE indicators were used as the basis for the proposed indicators. CONCLUSIONS. Publications on quality indicators of diabetes prevention programmes are scarce. The quality indicators presented here are a first step toward the definition of a core set of European indicators to monitor and improve the quality of diabetes prevention.
  • Health promotion interventions in type 2 diabetes Monographic Section

    Sørensen, Monica; Korsmo-Haugen, Henny-Kristine; Maggini, Marina; Kuske, Silke; Icks, Andrea; Rothe, Ulrike; Lindström, Jaana; Zaletel, Jelka

    Abstract in English:

    AIM. To present the most common quality criteria in health promotion interventions in type 2 diabetes mellitus (T2DM). METHODS. A systematic literature search was conducted to identify review articles, health technology assessments and policy reports of evaluated health promotion interventions in T2DM. A descriptive analysis of study characteristics and evaluation criteria are presented. RESULTS. Seven studies met the inclusion criteria. The findings indicate that the most common health promotion interventions used in T2DM are initiatives targeting health care professionals. The main ambition of the programs was to increase the collaboration between health care professionals and patients, and between health care centres, program managers and community stakeholders. CONCLUSIONS. This investigation extends our knowledge of the most common health promotion interventions in T2DM and which structure, process and outcome measurements that are reported in such interventions. Future research could usefully explore how the effectiveness of multicomponent and complex interventions may be evaluated and extend the association of these factors into other settings and in relation to other lifestyle related chronic diseases.
  • Education and health professionals training programs for people with type 2 diabetes: a review of quality criteria Monographic Section

    Kuske, Silke; Icks, Andrea; Zaletel, Jelka; Rothe, Ulrike; Lindström, Jaana; Sørensen, Monica; Maggini, Marina

    Abstract in English:

    OBJECTIVE. To contribute to the development of a set of quality criteria for patient education and health professionals training that could be applied in European countries. METHODS. Literature review quality criteria, pre-selection based on a comparison of the criteria, peer group and expert based selection of the criteria. RESULTS. 14 quality criteria were selected: goals, rationale, target group, setting, scheduling of the education/training sessions, environmental requirements, qualification of the trainers/educators, core components of the educator/trainer's role, curriculum, education methods, education didactics, monitoring of the effectiveness and quality of the program, implementation level and source of funding. DISCUSSION. A set of preliminary quality criteria for patient education and health professionals training was developed, which could be applied in European countries.
  • National Diabetes Plans: can they support changes in health care systems to strengthen diabetes prevention and care? Monographic Section

    Zaletel, Jelka; Piletic, Milivoj; Lindström, Jaana; Icks, Andrea; Rothe, Ulrike; Sørensen, Monica; Maggini, Marina

    Abstract in English:

    Healthcare systems do not fit well with the "modern" patient, who has a right to autonomy and self-determination. The services that are designed and delivered in policy contexts are not prone to encourage innovation. National Diabetes Plans, defined as "any formal strategy for improving diabetes policy, services and outcomes that encompass structured and integrated or linked activities which are planned and co-ordinated nationally and conducted at the national, regional, and local level", may hold a great potential not only to improve prevention and care for type 2 diabetes, but also for transforming healthcare delivery. Today, changes to adapt healthcare delivery tend to be implemented within existing provider structures, with limited understanding of specific context, structures, processes and potential for change. National Diabetes Plan can be a diagnostic tool for barriers, can be a driver for planning the change, and can help develop capacities and competences that are needed to strengthen healthcare systems to better address health promotion and chronic diseases.
Istituto Superiore di Sanità Roma - Rome - Italy
E-mail: annali@iss.it