TY - JOUR

T1 - Structuring complexity?

T2 - A systemic perspective on the implementation of a disease management programme for type II diabetes care in Denmark

AU - Vrangbæk, Karsten

PY - 2023

Y1 - 2023

N2 - Chronic diseases are major causes of death and reduction in the quality of life worldwide, and their prevalence is expected to rise due to changing demographics. Disease management programmes (DMPs) have been presented as a policy response to challenges of care coordination for such chronic diseases. This paper investigates the implementation of DMPs in a National Health Care system in the Nordic region using type II diabetes as an example. DMPs are detailed descriptions of the sequence and responsibilities for diagnostic, treatment, rehabilitation and prevention procedures. The paper applies a systemic implementation perspective to provide detailed analysis of implementation progress, issues and concerns. The implementation analysis shows that the framework of DMP has facilitated the development of new practices and attention to the roles that each of the stakeholders are playing within the service delivery. Many new initiatives contribute to improved coordination and overall management of the Type 2 diabetes (T2DB) population. Yet, there are also several cross-cutting challenges that are affecting the implementation process.

AB - Chronic diseases are major causes of death and reduction in the quality of life worldwide, and their prevalence is expected to rise due to changing demographics. Disease management programmes (DMPs) have been presented as a policy response to challenges of care coordination for such chronic diseases. This paper investigates the implementation of DMPs in a National Health Care system in the Nordic region using type II diabetes as an example. DMPs are detailed descriptions of the sequence and responsibilities for diagnostic, treatment, rehabilitation and prevention procedures. The paper applies a systemic implementation perspective to provide detailed analysis of implementation progress, issues and concerns. The implementation analysis shows that the framework of DMP has facilitated the development of new practices and attention to the roles that each of the stakeholders are playing within the service delivery. Many new initiatives contribute to improved coordination and overall management of the Type 2 diabetes (T2DB) population. Yet, there are also several cross-cutting challenges that are affecting the implementation process.

KW - Humans

KW - Diabetes Mellitus, Type 2/epidemiology

KW - Quality of Life

KW - Chronic Disease

KW - Disease Management

KW - Denmark/epidemiology

U2 - 10.1017/S1744133121000311

DO - 10.1017/S1744133121000311

M3 - Journal article

C2 - 36515133

VL - 18

SP - 49

EP - 65

JO - Health Economics, Policy and Law

JF - Health Economics, Policy and Law

SN - 1744-1331

IS - 1

ER -