The added value of transition programs in Dutch diabetes care: A controlled evaluation study.

Autor: Peeters MAC; Rotterdam University of Applied Sciences, Research Center Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, the Netherlands; Erasmus University Rotterdam, Erasmus School of Health Policy & Management, P.O. Box 1738, 3000 DR Rotterdam, the Netherlands. Electronic address: m.a.c.peeters@hr.nl., Sattoe JNT; Rotterdam University of Applied Sciences, Research Center Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, the Netherlands; Erasmus University Rotterdam, Erasmus School of Health Policy & Management, P.O. Box 1738, 3000 DR Rotterdam, the Netherlands. Electronic address: j.n.t.sattoe@hr.nl., Bronner MB; Rotterdam University of Applied Sciences, Research Center Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, the Netherlands., Bal RA; Erasmus University Rotterdam, Erasmus School of Health Policy & Management, P.O. Box 1738, 3000 DR Rotterdam, the Netherlands. Electronic address: r.bal@eshpm.eur.nl., van Staa A; Rotterdam University of Applied Sciences, Research Center Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, the Netherlands; Erasmus University Rotterdam, Erasmus School of Health Policy & Management, P.O. Box 1738, 3000 DR Rotterdam, the Netherlands. Electronic address: a.van.staa@hr.nl.
Jazyk: angličtina
Zdroj: Journal of pediatric nursing [J Pediatr Nurs] 2022 Jan-Feb; Vol. 62, pp. 155-163. Date of Electronic Publication: 2021 Aug 19.
DOI: 10.1016/j.pedn.2021.08.004
Abstrakt: Purpose: The desirability of evaluating transition programs is widely acknowledged. This study aimed to explore the added value of transitional care investments for young adults with type 1 diabetes mellitus.
Design and Methods: Based on qualitative data, two groups of diabetes teams were created through cluster analysis: paying more (HI-ATT) versus less attention (LO-ATT) to transitional care. Retrospective controlled evaluation included chart reviews on healthcare use and clinical outcomes; and a survey on young adults' experiences, satisfaction with care, and self-management skills.
Results: Data from 320 patients in fifteen diabetes teams were collected; 123 young adults (38.4%) completed a questionnaire. Self-reported outcomes showed that young adults treated by a HI-ATT team felt better prepared for transfer (p < .05). Self-management outcomes did not differ between groups. HI-ATT teams had more scheduled consultations in the year after transfer (p < .05); only 10.6% of all measurements had reached targeted HbA1c scores.
Conclusions: Current transitional care investments in Dutch diabetes care did not lead to notable improvements in experiences and outcomes, except for preparation for transfer. The period after transfer, however, is just as important. Attention is required for parent involvement.
Practice Implications: Transitional care investments should extend beyond the transfer. By educating young adults about the importance of regular clinic attendance and introducing additional person-centered consultations in adult care, nurses may help ensure continuity of care. Nurses could also introduce support programs for parents to prepare for the transition and their change in role, taking into account their continuing partnership.
Competing Interests: Declaration of Competing Interest The authors declare that there are no conflicts of interest.
(Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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