Association between person and disease related factors and the planned diabetes care in people who receive person-centered type 2 diabetes care: An implementation study.

<h4>Aims</h4>To assess the planned diabetes care for the coming year and its associated factors in patients with Type 2 diabetes who have a person-centered annual consultation.<h4>Methods</h4>Implementation study of a new consultation model in 47 general practices (primary care) and 6 outpatient clinics (secondary care); 1200 patients from primary and 166 from secondary care participated. Data collection took place between November 2015 and February 2017. Outcomes: preferred monitoring frequency; referral to other health care provider(s); medication change. One measurement at the end of the consultation. We performed logistic regression analyses. Differences between primary and secondary care were analyzed.<h4>Results</h4>Many patients arranged a monitoring frequency <4 times per year (general practices 19.5%, outpatient clinics 40%, p <.001). Type of provider (physician/nurse, OR 3.83, p <.001), baseline HbA1c (OR 1.02, p =.017), glucose lowering medication; and setting treatment goals (OR.65, p =.048) were associated with the chosen frequency. Independently associated with a referral were age (OR.99, p =.039), baseline glucose lowering medication and patients' goal setting (OR 1.52, p =.016). Medication change was associated with type of provider, baseline HbA1c, blood glucose lowering medication, quality of life (OR.80, p =.037) and setting treatment goals (OR 2.64, p =.001).<h4>Conclusions</h4>Not only disease but also person related factors, especially setting treatment goals, are independently associated with planned care use in person-centered diabetes care.

Abstract licence: CC BY

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