DIADEM: implementation of a comprehensive disease management programme for type 2 diabetes

• Published in: Practical diabetes international 2005-04, Vol.22 (3), p.93-97
• Main Authors: Luzio, S, Tovar, C, Piehlmeier, W, Eberl, S, Lätzsch, G, Fallböhmer, E, Evans, J, Owens, DR, Wollersheim, T, Bausch, F, Rupprecht, C, Schmidt, V, Rumpel, E, Mankopf, M, Christ, T, Jähnichen-Stöcker, G, Landgraf, R
• Format: Article
• Language: English
• Subjects: diabetes; disease management programmes (DMP); integrated care; telemedicine
• ISSN: 1357-8170; 1528-252X
• DOI: 10.1002/pdi.764

The purpose of the study was to evaluate the feasibility and acceptance of an IT‐based diabetes disease management programme. The study was performed at two test sites in Aachen (Germany) and Cardiff (UK) including 166 and 137 patients respectively. The study focused on the technical feasibility of a web‐based communication platform and its acceptance among medical professionals, the patient acceptance of entering self‐measured data via phone and of service‐centre support, the acceptance of implementing quality management measures, and the effects of all these measures on glycaemic control. The maximum programme duration was four months at Aachen and six months at Cardiff. The main outcomes were utilisation data, and satisfaction of both patients and physicians with the different components of DIADEM. HbA1c concentrations improved significantly from 7.1±1.0% to 6.8±1.1% in Aachen and from 7.7±1.0% to 7.1±1.1% in Cardiff (each p