Making diabetes care fit: insights, strategies and support

Author(s):
Ruissen, M.M. (0000-0002-5720-0674)
Published
2024
Publication type
Doctoral Thesis

Abstract

Globally, over 537 million adults are living with diabetes mellitus. Treatment of diabetes poses a large burden on patients, since it relies predominantly on the patient’s daily self-management. Therefore, providing the patient with a care plan that fits seamlessly in one’s daily routines, is in line with their values and preferences and does not overburden their capacities, is of major importance.

In order to make diabetes care fit, clinicians and patients need to collaborate and share their knowledge and experience. One possible approach to this collaboration is shared decision making (SDM). In SDM, patients and clinicians partner up and work together to decide on the best available healthcare strategy for the individual patient, taking into account both the best available evidence, and the patient’s preferences, needs and context.

This thesis aimed to explore patient and clinician efforts towards making diabetes care fit. In this exploration we aimed to provide insight in the factors driving the decision making process, discuss various strategies to tailor SDM to the patient’s situation, needs and preferences, and explore ways to support the patient and the patient-clinician partnership in diabetes care.

Patient-centered careShared Decision MakingMaking care fitDiabetes MellitusCommunicationE-health
Defense date
2024-01-25
Language
English
Supervisor(s)
Koning, E.J.P. de
Advisor(s)
Sont, J.K.; Kunneman, M.
Committee member(s)
Pijl, H.; Stiggelbout, A.M.; Raalte, D.H. van; Dulmen, S. van; Schroijen, M.A.
Qualification
Ph.D.
Degree granting institution
Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University, Leiden
hdl
1887/3715105
ISBN(s)
9789464835953

Funding

Sponsorship
Department of Biomedical Data Sciences, section of Medical; Decision Making (LUMC); ChipSoft