Article: Quality of care for patients with type 2 diabetes mellitus in the Netherlands and the United States: a comparison of two quality improvement programs.(Quality and Quality Improvement)

In the last decades, care for patients with type 2 diabetes has shifted away from hospitals and toward general practice (Griffin and Kinmonth 1997; Wood 1990). Numerous general practice guidelines for diabetes care have been published. However, large proportions of patients with diabetes mellitus are not receiving care in accordance with these guidelines (Beckles et al. 1998; Grol 1990; Konings, Wijkel, and Rutten 1995; Weiner et al. 1995).

A variety of multifaceted quality improvement programs have been implemented worldwide to support guideline adherence and improved quality of care for patients with diabetes. Whether outcomes of studies in specific health care ...

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