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Licensed Unlicensed Requires Authentication Published by De Gruyter January 9, 2015

Schlussfolgerungen aus der Evaluation des österreichischen Disease-Management-Programms ‘Therapie aktiv’ für die Behandlung von Diabetes mellitus Typ 2

  • Henrike Winkler EMAIL logo , Maria Flamm and Andreas Sönnichsen
From the journal Public Health Forum

Einleitung

DMPs sind trotz umstrittener Effektivität weit verbreitet. Selektionsbias und Regression zur Mitte führen in nicht-randomisierten Studien zur Überschätzung der Effekte. Das österreichische DMP für Diabetes mellitus Typ 2 zeigte in einer randomisiert kontrollierten Studie zwar eine Verbesserung der Prozessqualität, jedoch keinen relevanten Einfluss auf die Stoffwechselkontrolle als Outcomeparameter. Ein Durchbruch in der Versorgung chronisch Kranker ist durch DMPs nach derzeitigem Wissensstand nicht zu erwarten, sodass neue Wege wie Patienten-Selbstmanagement und Peer Support entwickelt werden sollten.

Summary

DMPs have been implemented widely despite disputed effectiveness. Selection bias and regression to the mean are responsible for overestimation of DMP-effects. A randomised controlled trial of the Austrian DMP for diabetes mellitus type 2 showed improvements of process quality but no effects on metabolic control. According to present knowledge DMPs will not solve the problems of chronic care, and therefore new approaches like patient self-management and peer support should be developed.

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Published Online: 2015-1-9
Published in Print: 2013-4-1

© 2015 by Walter de Gruyter Berlin/Boston

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