Co-designed Integrated Care Services for Diabetes Management: A Patient Centered Service Design Study
DOI:
https://doi.org/10.32350/jdt.51.04Keywords:
co-design, diabetes, diabetes management, integrated care, patient satisfaction, service designAbstract
The prominence of diabetes in the United States warrants holistic, collaborative, and patient-centered care in different healthcare touch points. The failure of traditional approaches is based on their inability to integrate services and patient perspectives into care designs. Through co-design interventions, healthcare professionals can optimize strategies for integrated care delivery. This exploratory pilot study examines the efficacy of co-designed integrated care services in the management of diabetes. The study specifically investigates healthcare providers' perceptions regarding potential enhancements in patient satisfaction relative to traditional care models. The study adopts a cross-sectional mixed-method service design strategy with a focus on quantitative data. In collecting the data, a survey was used to facilitate rapid collection while supporting systematic comparison of service models. The study indicates higher perceived levels of patient satisfaction in co-designed integrated care services. The scores were particularly higher in the areas of care coordination, communication, and patient engagement. Qualitative results further affirmed the significance of collaborative and continuous decision-making as well as the accessibility of services. However, these results should be interpreted cautiously, as they are based on provider-reported perceptions rather than actual patient outcomes. The results of the findings showcase the potential significance of co-design approaches in integrated diabetes management. The findings, therefore, provide preliminary insights into patient-centered service design intervention in primary healthcare
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[1] E. D. Parker et al., "Economic costs of diabetes in the US in 2022," Diabetes Care, vol. 47, no. 1, pp. 26–43, Jan. 2024, doi: https://doi.org/10.2337/dc23-1344.
[2] P. A. Moore, J. C. Zgibor, and A. P. Dasanayake, "Diabetes: A growing epidemic of all ages," J. Am. Dent. Assoc., vol. 134, pp. 11S–15S, Oct. 2003, doi: https://doi.org/10.14219/jada.archive.2003.0369.
[3] R. Zarora, J. Immanuel, T. Chivese, F. MacMillan, and D. Simmons, "Effectiveness of integrated diabetes care interventions involving diabetes specialists working in primary and community care settings: A systematic review and meta-analysis," Int. J. Integr. Care, vol. 22, no. 2, Art. no. 11, 2022, doi: https://doi.org/10.5334/ijic.5683.
[4] L. H. Burridge, M. M. Foster, M. Donald, J. Zhang, A. W. Russell, and C. L. Jackson, "Making sense of change: Patients' views of diabetes and GP-led integrated diabetes care," Health Expect., vol. 19, no. 1, pp. 74–86, Feb. 2016, doi: https://doi.org/10.1111/hex.12448.
[5] S. Silvola, U. Restelli, M. Bonfanti, and D. Croce, "Co-design as enabling factor for patient-centred healthcare: A bibliometric literature review," Clinicoecon. Outcomes Res., vol. 15, pp. 333–347, 2023, doi: https://doi.org/10.2147/CEOR.S425572.
[6] M. Fang, "Trends in diabetes management among US adults: 1999–2016," J. Gen. Intern. Med., vol. 35, no. 5, pp. 1427–1434, May 2020, doi: https://doi.org/10.1007/s11606-020-05816-5.
[7] B. Lewing, S. M. Abughosh, L. S. Lal, E. J. Essien, S. Sansgiry, and S. S. Sansgiry, "Patient, physician, and health system factors associated with five types of inadequate care during management of type-2 diabetes mellitus in the United States," Diabetes Epidemiol. Manag., vol. 6, Art. no. 100046, 2022, doi: https://doi.org/10.1016/j.dem.2022.100046.
[8] M. Shrivastav et al., "Type 2 diabetes management in primary care: The role of retrospective, professional continuous glucose monitoring," Diabetes Spectr., vol. 31, no. 3, pp. 279–287, Aug. 2018, doi: https://doi.org/10.2337/ds17-0101.
[9] G. Hughes, S. E. Shaw, and T. Greenhalgh, "Rethinking integrated care: A systematic hermeneutic review of the literature on integrated care strategies and concepts," Milbank Q., vol. 98, no. 2, pp. 446–492, Jun. 2020, doi: https://doi.org/10.1111/1468-0009.12438.
[10] M. Desmedt et al., "Economic impact of integrated care models for patients with chronic diseases: A systematic review," Value Health, vol. 19, no. 6, pp. 892–902, Sep. 2016, doi: https://doi.org/10.1016/j.jval.2016.03.2372.
[11] E. Batbaatar, J. Dorjdagva, A. Luvsannyam, M. M. Savino, and P. Amenta, "Determinants of patient satisfaction: A systematic review," Perspect. Public Health, vol. 137, no. 2, pp. 89–101, Mar. 2017, doi: https://doi.org/10.1177/1757913916653626.
[12] G. W. Goodrich and J. M. Lazenby, "Elements of patient satisfaction: An integrative review," Nurs. Open, vol. 10, no. 3, pp. 1258–1269, Mar. 2023, doi: https://doi.org/10.1002/nop2.1741.
[13] A. Alibrandi, L. Gitto, M. Limosani, and P. F. Mustica, "Patient satisfaction and quality of hospital care," Eval. Program Plann., vol. 97, Art. no. 102251, 2023, doi: https://doi.org/10.1016/j.evalprogplan.2023.102251.
[14] P. Rangachari, "A holistic framework of strategies and best practices for telehealth service design and implementation," in Service Design Practices for Healthcare Innovation: Paradigms, Principles, Prospects. Cham, Switzerland: Springer, 2022, pp. 315–335.
[15] J. Trischler and J. Westman Trischler, "Design for experience—A public service design approach in the age of digitalization," Public Manage. Rev., vol. 24, no. 8, pp. 1251–1270, 2022, doi: https://doi.org/10.1080/14719037.2022.2102297.
[16] A. Rosen and D. J. Holmes, "Co-leadership to co-design in mental health-care ecosystems: What does it mean to us?," Leadersh. Health Serv., vol. 36, no. 1, pp. 59–76, 2023, doi: https://doi.org/10.1108/LHS-07-2021-0043.
[17] E. I. Obilor, "Convenience and purposive sampling techniques: Are they the same," Int. J. Innov. Soc. Sci. Educ. Res., vol. 11, no. 1, pp. 1–7, 2023.
[18] B. Tanujaya, R. C. I. Prahmana, and J. Mumu, "Likert scale in social sciences research: Problems and difficulties," FWU J. Soc. Sci., vol. 16, no. 4, pp. 89–101, 2022, doi: https://doi.org/10.51784/fwujs.16.4.2022.16604
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