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Integrated Diabetes Care Delivered by Patients - A Case Study from Bulgaria
Berlin Univ Technol, Germany.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Natl Inst Hlth & Sci Ageing INRCA, Italy.ORCID iD: 0000-0002-1497-0011
Varna Med Univ, Bulgaria.
Berlin Univ Technol, Germany.
2017 (English)In: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 17, UNSP 6Article in journal (Refereed) Published
Abstract [en]

Introduction: Increasing numbers of persons are living with multiple chronic diseases and unmet medical needs in Bulgaria. The Bulgarian 'Diabetic care' non-profit (DCNPO) programme aims to provide comprehensive integrated care focusing on people with diabetes and their co-morbidities. Methods: The DCNPO programme was selected as one of eight 'high potential' programmes in the Innovating Care for People with Multiple Chronic Conditions (ICARE4EU) project, covering 31 European countries. Data was first gathered with a questionnaire after which semi-structured interviews with project staff and participants were conducted during a site visit. Results: The programme trains diabetic patients to act as carers, case managers, self-management trainers and health system navigators for diabetic patients and their family. The programme improved care coordination and patient-centered care by offering free care delivered by a multidisciplinary team. It facilitates the collaboration between patients, volunteers, health providers and the community. Internal evaluations demonstrate reduced hospital admissions and avoidable amputations, with consequent cost savings for the health care system. Conclusion: Integrated care provided by volunteering patients can empower people suffering from diabetes and their co-morbidities and address health and social inequalities in resource-poor settings. It can also contribute to an increased trust and improved satisfaction among vulnerable patients with complex care needs.

Place, publisher, year, edition, pages
Ubiquity Press, 2017. Vol. 17, UNSP 6
Keyword [en]
Integrated diabetes care, multiple chronic diseases, health and social care, volunteers, coordination of care, free care
National Category
Endocrinology and Diabetes Nursing
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-64433DOI: 10.5334/ijic.2475ISI: 000400671100003OAI: oai:DiVA.org:lnu-64433DiVA: diva2:1099042
Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2017-05-29Bibliographically approved

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Barbabella, Francesco
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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf