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Gepubliceerd in: Huisarts en wetenschap 12/2006

01-12-2006 | Onderzoek

Delen en delegeren zijn geen panacee voor betere diabeteszorg

Auteurs: JAR van Bruggen, dr. KJ Gorter, prof.dr. RP Stolk, prof.dr. GEHM Rutten

Gepubliceerd in: Huisarts en wetenschap | Uitgave 12/2006

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Samenvatting

Van Bruggen JAR, Gorter KJ, Stolk RP, Rutten GEHM. Delen en delegeren zijn geen panacee voor betere diabeteszorg. Huisarts Wet 2006;49(12):598-605.Achtergrond Een verbeterde samenwerking tussen artsen en andere zorgverleners zou leiden tot een kwaliteitsimpuls voor de diabeteszorg. Het is de vraag of deze verwachting op voldoende bewijs is gebaseerd.Methode Systematische zoekopdracht in Medline (1990-2005) naar reviews, RCT’s en overige effectevaluaties rond delen en/of delegeren van diabeteszorg.Resultaten Onze zoekactie leverde 2406 treffers op. Uiteindelijk sloten wij 22 onderzoeken in: 5 over het delen, 13 over het delegeren en 4 over het delen en delegeren van de zorg. Alle onderzoeken over het delen en/of delegeren van diabeteszorg, toonden een verbetering van het zorgproces aan. Het HbA1c nam af in 7 reviews en in 4 van de overige onderzoeken. De bloeddruk daalde in 4 niet-gerandomiseerde onderzoeken en in 3 van de 7 RCT’s, maar in niet één van de ingesloten reviews. Het cholesterol verminderde in 2 reviews, 1 RCT en 4 niet-gerandomiseerde onderzoeken.Conclusie De ingesloten onderzoeken laten zien dat het delen en/of delegeren van de zorg het zorgproces verbetert en het HbA1c verlaagt. De overige cardiovasculaire risicofactoren verbeteren echter niet. Een echt nauwkeurige inschatting van het effect van delen en delegeren binnen de Nederlandse diabeteszorg is om een aantal redenen niet mogelijk.
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Metagegevens
Titel
Delen en delegeren zijn geen panacee voor betere diabeteszorg
Auteurs
JAR van Bruggen
dr. KJ Gorter
prof.dr. RP Stolk
prof.dr. GEHM Rutten
Publicatiedatum
01-12-2006
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Huisarts en wetenschap / Uitgave 12/2006
Print ISSN: 0018-7070
Elektronisch ISSN: 1876-5912
DOI
https://doi.org/10.1007/BF03084966