1. Study protocol for a mixed methods exploratory investigation of aftercare services for gestational diabetes in women to develop a new patient-centred model in Germany: the GestDiNa_basic study
- Author
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Peter Ihle, Regina Ensenauer, Manuela Neuenschwander, Christoph J Rupprecht, Andrea Icks, Martin Schneider, Tanja Fehm, Gregory Gordon Greiner, Anja Viehmann, Verena Leve, Ute Linnenkamp, Stefan Wilm, Oliver Kuss, Matthias Kaltheuner, Frank Meyer, Judith Klein, Liesa Schumacher, Ute Lange, Dorit Müller-Bößmann, Veronika Lappe, Heinke Adamczewski, Miguel Tamayo, Viola Gräfe, Benjamin Westerhoff, Nadine Wallerich-Herf, Stefanie Schellhammer, Thomas Kerres, Imke Schmitz-Losem, Stefan Cramer, Birgit Klüppelholz, Simone Koch-Schulte, Ute Jüngling, Verena Leucht, Jacqueline Verena Warth, Franziska Meier-Stiegen, Gabriele Bizjak, Felix Borgmeier, Soner Öner-Sieben, Dietmar Weber, Manuela Behling, Martina Gierse, Kerstin Merker, Christian Graf, Thomas Abele, Joachim Saam, Stefanie Wobbe-Robinski, Olga Dortmann, and Tim Hollmann
- Subjects
Medicine - Abstract
Introduction Women with gestational diabetes mellitus (GDM) have a higher risk of developing type 2 diabetes mellitus compared with women who never had GDM. Consequently, the question of structured aftercare for GDM has emerged. In all probability, many women do not receive care according to the guidelines. In particular, the process and interaction between obstetrical, diabetic, gynaecological, paediatric and general practitioner care lacks clear definitions. Thus, our first goal is to analyse the current aftercare situation for women with GDM in Germany, for example, the participation rate in aftercare diabetes screening, as well as reasons and attitudes stated by healthcare providers to offer these services and by patients to participate (or not). Second, we want to develop an appropriate, effective and patient-centred care model.Methods and analysis This is a population-based mixed methods study using both quantitative and qualitative research approaches. In various working packages, we evaluate data of the GestDiab register, of the Association of Statutory Health Insurance Physicians of North Rhine and the participating insurance companies (AOK Rheinland/Hamburg, BARMER, DAK Gesundheit, IKK classic, pronova BKK). In addition, quantitative (postal surveys) and qualitative (interviews) surveys will be conducted with randomly selected healthcare providers (diabetologists, gynaecologists, paediatricians and midwives) and affected women, to be subsequently analysed. All results will then be jointly examined and evaluated.Ethics and dissemination The study was approved by the ethics committee of the Faculty of Medicine, Heinrich-Heine-University Düsseldorf (Ethics Committee No.: 2019-738). Participants of the postal surveys and interviews will be informed in detail about the study and the use of data as well as the underlying data protection regulations before voluntarily participating. The study results will be disseminated through peer-reviewed journals, conferences and public information.Trial registration number DRKS00020283.
- Published
- 2021
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