Publication

Association between quality management and performance indicators in Dutch diabetes care groups: a cross-sectional study

Campmans-Kuijpers, M. J. E., Baan, C. A., Lemmens, L. C., Klomp, M. L. H., Romeijnders, A. C. M. & Rutten, G. E. H. M., 11-May-2015, In : BMJ Open. 5, 5, 7 p., e007456.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Campmans-Kuijpers, M. J. E., Baan, C. A., Lemmens, L. C., Klomp, M. L. H., Romeijnders, A. C. M., & Rutten, G. E. H. M. (2015). Association between quality management and performance indicators in Dutch diabetes care groups: a cross-sectional study. BMJ Open, 5(5), [e007456]. https://doi.org/10.1136/bmjopen-2014-007456

Author

Campmans-Kuijpers, Marjo J E ; Baan, Caroline A ; Lemmens, Lidwien C ; Klomp, Maarten L H ; Romeijnders, Arnold C M ; Rutten, Guy E H M. / Association between quality management and performance indicators in Dutch diabetes care groups : a cross-sectional study. In: BMJ Open. 2015 ; Vol. 5, No. 5.

Harvard

Campmans-Kuijpers, MJE, Baan, CA, Lemmens, LC, Klomp, MLH, Romeijnders, ACM & Rutten, GEHM 2015, 'Association between quality management and performance indicators in Dutch diabetes care groups: a cross-sectional study', BMJ Open, vol. 5, no. 5, e007456. https://doi.org/10.1136/bmjopen-2014-007456

Standard

Association between quality management and performance indicators in Dutch diabetes care groups : a cross-sectional study. / Campmans-Kuijpers, Marjo J E; Baan, Caroline A; Lemmens, Lidwien C; Klomp, Maarten L H; Romeijnders, Arnold C M; Rutten, Guy E H M.

In: BMJ Open, Vol. 5, No. 5, e007456, 11.05.2015.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Campmans-Kuijpers MJE, Baan CA, Lemmens LC, Klomp MLH, Romeijnders ACM, Rutten GEHM. Association between quality management and performance indicators in Dutch diabetes care groups: a cross-sectional study. BMJ Open. 2015 May 11;5(5). e007456. https://doi.org/10.1136/bmjopen-2014-007456


BibTeX

@article{bfc1a3eb3f474ab5a8a9a18d10efa7a2,
title = "Association between quality management and performance indicators in Dutch diabetes care groups: a cross-sectional study",
abstract = "OBJECTIVES: To enhance the quality of diabetes care in the Netherlands, so-called care groups with three to 250 general practitioners emerged to organise and coordinate diabetes care. This introduced a new quality management level in addition to the quality management of separate general practices. We hypothesised that this new level of quality management might be associated with the aggregate performance indicators on the patient level. Therefore, we aimed to explore the association between quality management at the care group level and its aggregate performance indicators.DESIGN: A cross-sectional study.SETTING: All Dutch care groups (n=97).PARTICIPANTS: 23 care groups provided aggregate register-based performance indicators of all their practices as well as data on quality management measured with a questionnaire filled out by 1 or 2 of their quality managers.PRIMARY OUTCOMES: The association between quality management, overall and in 6 domains ('organisation of care', 'multidisciplinary teamwork', 'patient centredness', 'performance management', 'quality improvement policy' and 'management strategies') on the one hand and 3 process indicators (the percentages of patients with at least 1 measurement of glycated haemoglobin, lipid profile and systolic blood pressure), and 3 intermediate outcome indicators (the percentages of patients with glycated haemoglobin below 53 mmol/mol (7%); low-density lipoprotein cholesterol below 2.5 mmol/L; and systolic blood pressure below 140 mm Hg) by weighted univariable linear regression.RESULTS: The domain 'management strategies' was significantly associated with the percentage of patients with a glycated haemoglobin <53 mmol/mol (β 0.28 (0.09; 0.46) p=0.01) after correction for multiple testing. The other domains as well as overall quality management were not associated with aggregate process or outcome indicators.CONCLUSIONS: This first exploratory study on quality management showed weak or no associations between quality management of diabetes care groups and their performance. It remains uncertain whether this second layer on quality management adds to better quality of care.",
keywords = "Blood Glucose/metabolism, Blood Pressure, Cholesterol, LDL/blood, Cross-Sectional Studies, Delivery of Health Care/organization & administration, Diabetes Mellitus, Type 2/blood, Disease Management, Glycated Hemoglobin A/metabolism, Humans, Netherlands, Quality Improvement, Quality Indicators, Health Care, Surveys and Questionnaires",
author = "Campmans-Kuijpers, {Marjo J E} and Baan, {Caroline A} and Lemmens, {Lidwien C} and Klomp, {Maarten L H} and Romeijnders, {Arnold C M} and Rutten, {Guy E H M}",
note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.",
year = "2015",
month = may,
day = "11",
doi = "10.1136/bmjopen-2014-007456",
language = "English",
volume = "5",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "BMJ PUBLISHING GROUP",
number = "5",

}

RIS

TY - JOUR

T1 - Association between quality management and performance indicators in Dutch diabetes care groups

T2 - a cross-sectional study

AU - Campmans-Kuijpers, Marjo J E

AU - Baan, Caroline A

AU - Lemmens, Lidwien C

AU - Klomp, Maarten L H

AU - Romeijnders, Arnold C M

AU - Rutten, Guy E H M

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

PY - 2015/5/11

Y1 - 2015/5/11

N2 - OBJECTIVES: To enhance the quality of diabetes care in the Netherlands, so-called care groups with three to 250 general practitioners emerged to organise and coordinate diabetes care. This introduced a new quality management level in addition to the quality management of separate general practices. We hypothesised that this new level of quality management might be associated with the aggregate performance indicators on the patient level. Therefore, we aimed to explore the association between quality management at the care group level and its aggregate performance indicators.DESIGN: A cross-sectional study.SETTING: All Dutch care groups (n=97).PARTICIPANTS: 23 care groups provided aggregate register-based performance indicators of all their practices as well as data on quality management measured with a questionnaire filled out by 1 or 2 of their quality managers.PRIMARY OUTCOMES: The association between quality management, overall and in 6 domains ('organisation of care', 'multidisciplinary teamwork', 'patient centredness', 'performance management', 'quality improvement policy' and 'management strategies') on the one hand and 3 process indicators (the percentages of patients with at least 1 measurement of glycated haemoglobin, lipid profile and systolic blood pressure), and 3 intermediate outcome indicators (the percentages of patients with glycated haemoglobin below 53 mmol/mol (7%); low-density lipoprotein cholesterol below 2.5 mmol/L; and systolic blood pressure below 140 mm Hg) by weighted univariable linear regression.RESULTS: The domain 'management strategies' was significantly associated with the percentage of patients with a glycated haemoglobin <53 mmol/mol (β 0.28 (0.09; 0.46) p=0.01) after correction for multiple testing. The other domains as well as overall quality management were not associated with aggregate process or outcome indicators.CONCLUSIONS: This first exploratory study on quality management showed weak or no associations between quality management of diabetes care groups and their performance. It remains uncertain whether this second layer on quality management adds to better quality of care.

AB - OBJECTIVES: To enhance the quality of diabetes care in the Netherlands, so-called care groups with three to 250 general practitioners emerged to organise and coordinate diabetes care. This introduced a new quality management level in addition to the quality management of separate general practices. We hypothesised that this new level of quality management might be associated with the aggregate performance indicators on the patient level. Therefore, we aimed to explore the association between quality management at the care group level and its aggregate performance indicators.DESIGN: A cross-sectional study.SETTING: All Dutch care groups (n=97).PARTICIPANTS: 23 care groups provided aggregate register-based performance indicators of all their practices as well as data on quality management measured with a questionnaire filled out by 1 or 2 of their quality managers.PRIMARY OUTCOMES: The association between quality management, overall and in 6 domains ('organisation of care', 'multidisciplinary teamwork', 'patient centredness', 'performance management', 'quality improvement policy' and 'management strategies') on the one hand and 3 process indicators (the percentages of patients with at least 1 measurement of glycated haemoglobin, lipid profile and systolic blood pressure), and 3 intermediate outcome indicators (the percentages of patients with glycated haemoglobin below 53 mmol/mol (7%); low-density lipoprotein cholesterol below 2.5 mmol/L; and systolic blood pressure below 140 mm Hg) by weighted univariable linear regression.RESULTS: The domain 'management strategies' was significantly associated with the percentage of patients with a glycated haemoglobin <53 mmol/mol (β 0.28 (0.09; 0.46) p=0.01) after correction for multiple testing. The other domains as well as overall quality management were not associated with aggregate process or outcome indicators.CONCLUSIONS: This first exploratory study on quality management showed weak or no associations between quality management of diabetes care groups and their performance. It remains uncertain whether this second layer on quality management adds to better quality of care.

KW - Blood Glucose/metabolism

KW - Blood Pressure

KW - Cholesterol, LDL/blood

KW - Cross-Sectional Studies

KW - Delivery of Health Care/organization & administration

KW - Diabetes Mellitus, Type 2/blood

KW - Disease Management

KW - Glycated Hemoglobin A/metabolism

KW - Humans

KW - Netherlands

KW - Quality Improvement

KW - Quality Indicators, Health Care

KW - Surveys and Questionnaires

U2 - 10.1136/bmjopen-2014-007456

DO - 10.1136/bmjopen-2014-007456

M3 - Article

C2 - 25968001

VL - 5

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 5

M1 - e007456

ER -

ID: 127978055