A simple method for introducing care planning into specialist diabetes clinics. The WICKED project

Abstract Diabetes care planning is a systematic way of establishing a partnership between people with diabetes and health care services. We piloted a systematic patient‐driven care planning consultation process in our routine specialist diabetes clinics. A document based on all key care processes was given to and completed by patients prior to their consultation. The completed document was used to structure the clinic consultation. Patient and doctor outcomes were assessed by post consultation questionnaires. Of 148 patients, 101 responded; 55 male, age 60 ± 12 years, duration of diabetes 12 ± 9 years, 67 on insulin, 3 new and 98 review patients; 63% were Caucasian, 14% Asian, 4% Afro Caribbean and 19% unknown ethnicity. In global assessment by patients, the process scored ‘good’ or ‘very good’ in 80%, as it did in the other more specific domains (n = 7). Among doctors, 10 of 12 rated the structured patient‐driven consultation process good or very good, reporting increased patient engagement, shared decision making and communication; they felt it was more time consuming though worthwhile. Crucially, it increased insight into patients’ needs. In patient‐centric consultations: patients did use the opportunity to assess, categorise and prioritise their health concerns with a high degree of satisfaction; health professionals found that of benefit; this was implementable within busy routine specialist diabetes clinics. Copyright © 2014 John Wiley &am...
Source: Practical Diabetes International - Category: Endocrinology Authors: Tags: Original Article Source Type: research