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Structuring complexity? A systemic perspective on the implementation of a disease management programme for type II diabetes care in Denmark

Published online by Cambridge University Press:  13 October 2021

Karsten Vrangbæk Open the ORCID record for Karsten Vrangbæk [Opens in a new window]
Karsten Vrangbæk*
Affiliation:
Department of Public Health and Department of Political Science, University of Copenhagen, Copenhagen, Denmark
*
Corresponding author. Email: kavr@sund.ku.dk
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Abstract

Chronic diseases are major causes of death and reduction in the quality of life worldwide, and their prevalence is expected to rise due to changing demographics. Disease management programmes (DMPs) have been presented as a policy response to challenges of care coordination for such chronic diseases. This paper investigates the implementation of DMPs in a National Health Care system in the Nordic region using type II diabetes as an example. DMPs are detailed descriptions of the sequence and responsibilities for diagnostic, treatment, rehabilitation and prevention procedures. The paper applies a systemic implementation perspective to provide detailed analysis of implementation progress, issues and concerns. The implementation analysis shows that the framework of DMP has facilitated the development of new practices and attention to the roles that each of the stakeholders are playing within the service delivery. Many new initiatives contribute to improved coordination and overall management of the Type 2 diabetes (T2DB) population. Yet, there are also several cross-cutting challenges that are affecting the implementation process.

Keywords

Diabetesdisease management programmeimplementation
Type
Article
Information
Health Economics, Policy and Law , Volume 18 , Issue 1 , January 2023 , pp. 49 - 65
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Copyright © The Author(s), 2021. Published by Cambridge University Press

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