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

Affiliation
Institute for Health Services Research and Health Economics, Centre for Health and Society (Chs), Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Greiner, Gregory Gordon;
Affiliation
Institute for Health Services Research and Health Economics, Centre for Health and Society (Chs), Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Viehmann, Anja;
Affiliation
Institute for Health Services Research and Health Economics, Centre for Health and Society (Chs), Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Linnenkamp, Ute;
Affiliation
Institute for Health Services Research and Health Economics, German Diabetes Center, Leibniz Institute for Diabetes Research at Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Wilm, Stefan;
Affiliation
Institute for Health Services Research and Health Economics, German Diabetes Center, Leibniz Institute for Diabetes Research at Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Leve, Verena;
Affiliation
Institute for Health Services Research and Health Economics, German Diabetes Center, Leibniz Institute for Diabetes Research at Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Neuenschwander, Manuela;
Affiliation
Institute for Health Services Research and Health Economics, German Diabetes Center, Leibniz Institute for Diabetes Research at Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Kuss, Oliver;
Affiliation
Institute for Health Services Research and Health Economics, Centre for Health and Society (Chs), Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Fehm, Tanja;
GND
1102937231
Affiliation
Institute of Child Nutrition, Max Rubner-Institute Federal Research Institute of Nutrition and Food Karlsruhe, Baden-Württemberg, Germany
Ensenauer, Regina;
Affiliation
Institute for Health Services Research and Health Economics, Centre for Health and Society (Chs), Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Schumacher, Liesa;
Affiliation
Department of Applied Heath Sciences, Bochum University of Applied Sciences, Nordrhein-Westfalen, Germany
Lange, Ute;
Affiliation
Department of Applied Heath Sciences, Bochum University of Applied Sciences, Nordrhein-Westfalen, Germany
Müller-Bößmann, Dorit;
Affiliation
PMV Research Group, Faculty of Medicine and University Hospital Cologne, University of Cologne, Nordrhein-Westfalen, Germany
Lappe, Veronika;
Affiliation
PMV Research Group, Faculty of Medicine and University Hospital Cologne, University of Cologne, Nordrhein-Westfalen, Germany
Ihle, Peter;
Affiliation
WinDiab GGmbH Düsseldorf, Nordrhein-Westfalen, Germany
Adamczewski, Heinke;
Affiliation
WinDiab GGmbH Düsseldorf, Nordrhein-Westfalen, Germany
Kaltheuner, Matthias;
Affiliation
Association of Statutory Health Insurance Physicians of North Rhine (KV Nordrhein), Nordrhein-Westfalen, Germany
Tamayo, Miguel;
Affiliation
Association of Statutory Health Insurance Physicians of North Rhine (KV Nordrhein), Nordrhein-Westfalen, Germany
Gräfe, Viola;
Affiliation
BARMER, Statutory Health Insurance Wuppertal, Nordrhein-Westfalen, Germany
Westerhoff, Benjamin;
Affiliation
BARMER, Statutory Health Insurance Wuppertal, Nordrhein-Westfalen, Germany
Wallerich-Herf, Nadine;
Affiliation
DAK Gesundheit, Statutory Health Insurance, Hamburg, Germany
Schellhammer, Stefanie;
Affiliation
DAK Gesundheit, Statutory Health Insurance, Hamburg, Germany
Kerres, Thomas;
Affiliation
Pronova BKK, Statutory Health Insurance Ludwigshafen, Rheinland-Pfalz, Germany
Schmitz-Losem, Imke;
Affiliation
Pronova BKK, Statutory Health Insurance Ludwigshafen, Rheinland-Pfalz, Germany
Cramer, Stefan;
Affiliation
AOK Rheinland/Hamburg, Statutory Health Insurance, Nordrhein-Westfalen, Germany
Rupprecht, Christoph J;
Affiliation
AOK Rheinland/Hamburg, Statutory Health Insurance, Nordrhein-Westfalen, Germany
Klüppelholz, Birgit;
Affiliation
IKK Classic, Statutory Health Insurance Münster, Nordrhein-Westfalen, Germany
Meyer, Frank;
Affiliation
IKK Classic, Statutory Health Insurance Münster, Nordrhein-Westfalen, Germany
Koch-Schulte, Simone;
Affiliation
Patient Representative Dortmund, Nordrhein-Westfalen, Germany
Jüngling, Ute;
Affiliation
Institute for Health Services Research and Health Economics, Centre for Health and Society (Chs), Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Nordrhein-Westfalen, Germany
Icks, Andrea

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.

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