Program of continuous improvement in the quality of diabetes care and assessment of its impact on clinical and humanistic indicators

Introduction. Despite the large consensus (National Diabetes Plan) regarding the centrality of the person with diabetes and the fundamental role of his involvement in the management of the disease in order to achieve the established therapeutic objectives, the international program Diabetes Attitudes, Wishes and Needs (DAWN) 2 showed a substantial lack of the care process in addressing these issues; Italy resulted as one of the countries with higher levels of distress, poor psychological well-being and communication gap between doctors and patients.

In parallel, the AMD Annals initiative shows that integration of the periodic evaluation of specific quality indicators results in improved clinical outcomes with a positive cost-benefit ratio.

The BENCH-D initiative, sponsored by AMD in collaboration with CORESEARCH, has been designed to assess whether it is possible to promote the systematic monitoring and continuous improvement of new indicators that focus on the psychosocial aspects of diabetes, such as physical and psychological well-being, distress, empowerment, self-care attitude, satisfaction with the received care, barriers to treatment and satisfaction with the physician-patient communication

Aims. To obtain a picture of the psycho-social condition of people with type 2 diabetes followed by diabetes centers, using a variety of validated questionnaires for the assessment of quality of life and satisfaction (person-centered measures). To understand existing relationship between clinical indicators of quality of care and the new measures centered on the person with diabetes and how the results are reciprocally influenced. To develop a new regional model for structured discussion of both clinical indicators and the new person-centered measures for the improvement of such indicators. To increase the focus on psychosocial aspects and promote the integration of person-centered measures in the clinical practice

Type of study. No-profit observational, longitudinal, multicenter study

Population. Over 2,000 treated patients with type 2 diabetes

Centers. 32 diabetes centers from 4 Italian regions (Piedmont, Marche, Lazio and Sicily)

Promoter. Associazione Medici Diabetologi in collaboration with CORESEARCH

Funding. Unconditional support of NovoNordisk SpA, Italy

Status. Ongoing study

Bibliography:

  1. Rossi MC, Lucisano G, Pintaudi B, Bulotta A, Gentile S, Scardapane M, Skovlund SE, Vespasiani G, Nicolucci A; BENCH-D Study Group. The complex interplay between clinical and person-centered diabetes outcomes in the two genders. Health Qual Life Outcomes. 2017 Feb 21;15(1):41. doi: 10.1186/s12955-017-0613-0. PubMed PMID: 28222781; PubMed Central PMCID: PMC5320673.
  2. Rossi MC, Lucisano G, Funnell M, Pintaudi B, Bulotta A, Gentile S, Scardapane M, Skovlund SE, Vespasiani G, Nicolucci A; BENCH-D Study Group.. Interplay among patient empowerment and clinical and person-centered outcomes in type 2 diabetes. The BENCH-D study. Patient Educ Couns. 2015 Sep;98(9):1142-9.
  3. Pintaudi B, Lucisano G, Gentile S, Bulotta A, Skovlund SE, Vespasiani G, Rossi MC, Nicolucci A; BENCH-D Study Group.. Correlates of diabetes-related distress in type 2 diabetes: Findings from the benchmarking network for clinical and humanistic outcomes in diabetes (BENCH-D) study. J Psychosom Res. 2015;79:348-54
  4. Nicolucci A, Rossi MC, Pintaudi B, Lucisano G, Scardapane M, Gentile S, Bulotta A, Skovlund SE, Vespasiani A. Il miglioramento continuo della qualità dell’assistenza diabetologica attraverso la valutazione di indicatori clinici e umanistici. Italian Health Policy Brief Anno IV – Speciale 2014
  5. Nicolucci A, Rossi MC, Pellegrini F, Lucisano G, Pintaudi B, Gentile S, Marra G, Skovlund SE, Vespasiani G; BENCH-D Study Group.. Benchmarking network for clinical and humanistic outcomes in diabetes (BENCH-D) study: protocol, tools, and population. Springerplus. 2014 Feb 12;3:83.