16th Nordic Congress of General Practice Attitudes and reactions among general practitioners to a new set–up for the management of patients with diabetes. Søren Torkil Svenstrup (1), MS Andersen (1), S Rygner (1), J Damsgaard (1) (1) Hvalsø General Practice, Hvalsø, Denmark Conflict of interests: We have received public funding from “Kvalitets- og efteruddannelsesudvalget for almen Praksis”, Region Sjælland.
16th Nordic Congress of General Practice Background A new model to assure the quality of care of patients with diabetes has been introduced in Denmark in 2007. It consists of: A data tool to work up key parameters of diabetic care Change in payment toward a capitation system
16th Nordic Congress of General Practice Objective Description of the attitudes and reactions among general practitioners to the new set-up for the management of patients with diabetes.
16th Nordic Congress of General Practice Methods Participation in the implementation of the model in two general practices Nine visits to different GP’s and conduction of qualitative interviews
16th Nordic Congress of General Practice Results The GP’s interviewed were: Organized Experienced Motivated Selected
16th Nordic Congress of General Practice Results – positive aspects Uniform and structured diabetic care Better division of tasks Guidelines for daily routines Improved overview and identification of suboptimal care
16th Nordic Congress of General Practice Results – negative aspects An instrument to regulate and control the GP? Diminished responsibility for self-care? Less individualistic care of patients? Professional confidentiality breached? An economical disadvantage? Time and resource consuming?
16th Nordic Congress of General Practice Conclusion Improved overview and methodology Better division of tasks Homogeneous treatment of higher quality Model for other chronic diseases Negative aspects?