Change in quality management in diabetes care groups and outpatient clinics after feedback and tailored support

Marjo J Campmans-Kuijpers*, Caroline A Baan, Lidwien C Lemmens, Guy E Rutten

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

15 Citations (Scopus)


OBJECTIVE: To assess the change in level of diabetes quality management in primary care groups and outpatient clinics after feedback and tailored support.

RESEARCH DESIGN AND METHODS: This before-and-after study with a 1-year follow-up surveyed quality managers on six domains of quality management. Questionnaires measured organization of care, multidisciplinary teamwork, patient centeredness, performance results, quality improvement policy, and management strategies (score range 0-100%). Based on the scores, responders received feedback and a benchmark and were granted access to a toolbox of quality improvement instruments. If requested, additional support in improving quality management was available, consisting of an elucidating phone call or a visit from an experienced consultant. After 1 year, the level of quality management was measured again.

RESULTS: Of the initially 60 participating care groups, 51 completed the study. The total quality management score improved from 59.8% (95% CI 57.0-62.6%) to 65.1% (62.8-67.5%; P < 0.0001). The same applied to all six domains. The feedback and benchmark improved the total quality management score (P = 0.001). Of the 44 participating outpatient clinics, 28 completed the study. Their total score changed from 65.7% (CI 60.3-71.1%) to 67.3% (CI 62.9-71.7%; P = 0.30). Only the results in the domain multidisciplinary teamwork improved (P = 0.001).

CONCLUSIONS: Measuring quality management and providing feedback and a benchmark improves the level of quality management in care groups but not in outpatient clinics. The questionnaires might also be a useful asset for other diabetes care groups, such as Accountable Care Organizations.

Original languageEnglish
Pages (from-to)285-92
Number of pages8
JournalDiabetes Care
Issue number2
Publication statusPublished - Feb-2015
Externally publishedYes


  • Ambulatory Care/standards
  • Ambulatory Care Facilities/standards
  • Controlled Before-After Studies
  • Diabetes Mellitus, Type 2/therapy
  • Feedback
  • Follow-Up Studies
  • Humans
  • Netherlands
  • Patient Care Team
  • Quality of Health Care
  • Surveys and Questionnaires
  • Total Quality Management

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