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Improved transition in care in diabetes

From child care to adult care

Young people aged 15 to 25 have the worst diabetes regulation of all age groups. The way of life and the developmental task of becoming of independence in this stage of life, are often in conflict with living with diabetes mellitus type 1 (DM1).

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The overarching objective of the project is to develop and implement a quality improvement program in Dutch diabetes care, to implement evidence-based interventions and provide young people with DM1 the optimal support in the transition phase.

The project consists of three parts. First, a quick-scan that will provide insights into working ways in current Dutch diabetes transitional care. Furthermore, hospitals with transition clinics will be compared with each other, and with hospitals without transition clinics. This is followed by the evaluation of the process and the outcomes: a comparison of 10 existing transition clinics with the standard care in 10 other diabetes teams.  Finally, good practices generated by the research will be disseminated and directly implemented. Teams with extensive experience with (interventions in) transition care will coach teams with less experience. The experiences gained in the Action Programme  Eigen Benen Vooruit! and the transition Toolkit will be used. The teams will supported by a national team of experts. A panel of young people with diabetes will visit the teams and give advice on possible improvements.