PMID- 31419980
OWN - NLM
STAT- MEDLINE
DCOM- 20191119
LR  - 20200225
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 19
IP  - 1
DP  - 2019 Aug 16
TI  - Relevant patient characteristics for estimating healthcare needs according to 
      healthcare providers and people with type 2 diabetes: a Delphi survey.
PG  - 575
LID - 10.1186/s12913-019-4371-z [doi]
LID - 575
AB  - BACKGROUND: Recently, there has been growing interest in providing more tailored, 
      patient-centered care for the treatment of type 2 diabetes mellitus (T2DM). Yet 
      it remains unclear which patient characteristics should be determined to guide 
      such an approach. Therefore, the opinions of healthcare providers (HCP) and 
      people with T2DM about relevant patient characteristics for estimating healthcare 
      needs of people with T2DM were assessed and compared. METHODS: Two separate 
      online Delphi studies were conducted according to the RAND-UCLA Appropriateness 
      Method: one with HCPs (n = 22) from Dutch primary and secondary care and one with 
      people with T2DM treated in Dutch primary care (n = 46). The relevance of patient 
      characteristics for estimating healthcare needs, defined as the number of yearly 
      consultations, was assessed on a 5-point Likert scale. Characteristics with a 
      median of 4 or 5 and an interquartile range </= 1.5 were considered relevant with 
      consensus. Participants were also asked to select the top 5 of most relevant 
      patient characteristics. To determine the overall top 5, the mean relative 
      importance score of each characteristic was calculated. RESULTS: In two Delphi 
      rounds, 28 and 15 patient characteristics were rated by HCPs and people with 
      T2DM, respectively. Both HCPs and people with T2DM found health-related 
      characteristics relevant for estimating healthcare needs of people with T2DM. 
      However, HCPs preferred to estimate healthcare needs using person- and 
      context-related characteristics. They ranked self-efficacy as the most relevant 
      estimator. In contrast, people with T2DM were more in favor of health-related 
      characteristics and ranked HbA1c as the most relevant estimator. CONCLUSIONS: The 
      findings show that there is discrepancy in opinions on relevant patient 
      characteristics for estimating healthcare needs between HCPs and people with 
      T2DM. To achieve more tailored, patient-centered care, it is important that both 
      groups agree on the topics to be discussed during patient consultations.
FAU - Hertroijs, Dorijn F L
AU  - Hertroijs DFL
AUID- ORCID: 0000-0001-9904-7252
AD  - Department of Health Services Research, CAPHRI Care and Public Health Research 
      Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, 
      Duboisdomein 30, 6229, GT, Maastricht, the Netherlands. 
      d.hertroijs@maastrichtuniversity.nl.
FAU - Brouwers, Martijn C G J
AU  - Brouwers MCGJ
AD  - Department of Internal Medicine, Division of Endocrinology and Metabolic 
      Diseases, Maastricht University Medical Centre, P. Debyelaan 25, 6229 HX, 
      Maastricht, the Netherlands.
FAU - Elissen, Arianne M J
AU  - Elissen AMJ
AD  - Department of Health Services Research, CAPHRI Care and Public Health Research 
      Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, 
      Duboisdomein 30, 6229, GT, Maastricht, the Netherlands.
FAU - Schaper, Nicolaas C
AU  - Schaper NC
AD  - Department of Internal Medicine, Division of Endocrinology and Metabolic 
      Diseases, Maastricht University Medical Centre, P. Debyelaan 25, 6229 HX, 
      Maastricht, the Netherlands.
FAU - Ruwaard, Dirk
AU  - Ruwaard D
AD  - Department of Health Services Research, CAPHRI Care and Public Health Research 
      Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, 
      Duboisdomein 30, 6229, GT, Maastricht, the Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20190816
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Aged
MH  - Delphi Technique
MH  - Diabetes Mellitus, Type 2/*therapy
MH  - Female
MH  - Health Personnel/*organization & administration
MH  - Health Services Research
MH  - Humans
MH  - Male
MH  - Needs Assessment/*organization & administration
MH  - Patient-Centered Care/*organization & administration
PMC - PMC6698036
OTO - NOTNLM
OT  - Delphi panel
OT  - Healthcare providers
OT  - Patient-centered care
OT  - People with type 2 diabetes
OT  - Type 2 diabetes
COIS- The authors declare that they have no competing interests.
EDAT- 2019/08/20 06:00
MHDA- 2019/11/20 06:00
PMCR- 2019/08/16
CRDT- 2019/08/18 06:00
PHST- 2018/11/29 00:00 [received]
PHST- 2019/07/25 00:00 [accepted]
PHST- 2019/08/18 06:00 [entrez]
PHST- 2019/08/20 06:00 [pubmed]
PHST- 2019/11/20 06:00 [medline]
PHST- 2019/08/16 00:00 [pmc-release]
AID - 10.1186/s12913-019-4371-z [pii]
AID - 4371 [pii]
AID - 10.1186/s12913-019-4371-z [doi]
PST - epublish
SO  - BMC Health Serv Res. 2019 Aug 16;19(1):575. doi: 10.1186/s12913-019-4371-z.