Rutten G E H M, van Vugt H A, de Weerdt I, Lamberts S W J, de Koning E J P
UMC Utrecht, Julius Centrum voor Gezondheidswetenschappen en Eerstelijns Geneeskunde, afd. Huisartsgeneeskunde, Utrecht.
Ned Tijdschr Geneeskd. 2016;160:D342.
Diabetes care is shifting from disease management to personalised care. Internationally, diabetes care providers are advised to integrate the patient's preferences, wishes and possibilities into diabetes care in order to improve its efficiency. The Dutch Diabetes Federation has developed a specifically patient-centred conversation model that can be systematically applied. At an annual appraisal, the physician and the patient make decisions on the treatment goals to set, and on the treatment and professional support needed to achieve these goals. In this way person-centred and efficient care may become reality. The first results of a pilot study are promising. Currently the applicability and added value of the model are being tested on a large scale. The model is more broadly applicable, which means this could be a new perspective for everyone with a chronic disease.
糖尿病护理正从疾病管理转向个性化护理。在国际上，建议糖尿病护理提供者将患者的偏好、愿望和可能性纳入糖尿病护理中，以提高其效率。荷兰糖尿病联合会开发了一种可系统应用的、专门以患者为中心的对话模式。在年度评估中，医生和患者就设定的治疗目标以及实现这些目标所需的治疗和专业支持做出决策。通过这种方式，以人为本且高效的护理可能会成为现实。一项试点研究的初步结果很有前景。目前，该模式的适用性和附加值正在大规模测试中。该模式具有更广泛的适用性，这意味着对于每一位慢性病患者来说，这可能是一个新的视角。
