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Health Education Research, Vol. 5, No. 1, 41-52, 1990
© 1990 Oxford University Press

research-article

Locally developed plans for quality diabetes care: worker and consumer participation in the public health-care system

Anita Carlson and Urban Rosenqvist

Diabetes Education and Training Unit, Karolinska Hospital Stockholm, Sweden

Improved metabolic control may delay or prevent the late complications of diabetes. In order to achieve this diabetes-care delivery needs to be made more effective. Diabetes-control programs have been developed to help translate knowledge into practice. Re-structuring social services has often been ineffective, partly because of poor involvement by members of an organization. The purpose of the present study was to test a method which would allow for patient and health-care provider participation in the local planning of diabetes care. The method consisted of a series of steps which allowed health-care providers and consumers to identify and analyse problems and to suggest and where possible, implement solutions. The impact of this program was tested in 17 primary health-care centres. We report here on problems identified by staff and consumers, plans for their solution, and the results after 18 months. Many problems, mainly dealing with the organization of diabetes care and a number of possible solutions to them were identified. Other problem areas concerned staff— patient relationships and contacts with the external environment. After 18 months a majority (70%) of the solutions had been implemented.


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