Diabetes Care Consultation Model Creates Patient-Centered Approach

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Patients felt more involved in their care than before and gave the consultation a rating of 8.6 out of 10.
Patients felt more involved in their care than before and gave the consultation a rating of 8.6 out of 10.

HealthDay News — A consultation model that facilitates person-centered diabetes care results in more patient involvement, including shared decision making, according to a study published in Diabetes Care.

Guy E.H.M. Rutten, MD, PhD, from the University Medical Center Utrecht in the Netherlands, and colleagues examined the usefulness and added value of a consultation model comprising inventory of disease and patient-related factors; setting personal goals; choosing treatment; and determining required care. Patients were recommended to prepare their visits, and completed a questionnaire after each consultation. A total of 74 physicians and 31 nurses participated, reporting on 1366 consultations with patients with type 2 diabetes.

The researchers found that the model was applicable in 72.4% of cases, according to providers. Physicians more often had a consultation time <25 minutes. Two of 3 patients spoke more than half of the consultation time, according to providers. Treatment goals were often determined by person-related factors, according to providers. Overall, 94.4% of patients reported making shared decisions; they felt more involved than before and gave a rating of 8.6 out of 10 for the consultation. More than half of patients (52.5%) reported that the consultation was better after physician-led consultations than before.

"A consultation model to facilitate person-centered care seems well applicable and results in more patient involvement, including shared decision making, and is appreciated by a substantial number of patients," the authors wrote.

Disclosures: One author disclosed financial ties to Novo Nordisk.

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Rutten GEHM, van Vught HA, de Weerdt I, et al. Implementation of a structured diabetes consultation model to facilitate a person-centered approach: results from a nationwide Dutch study [published online January 23, 2018]. Diabetes Care. doi:10.2337/dc17-1194.

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