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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.
SUBMITTER: Greiner GG
PROVIDER: S-EPMC8330567 | biostudies-literature | 2021 Aug
REPOSITORIES: biostudies-literature

Greiner Gregory Gordon GG Viehmann Anja A Linnenkamp Ute U Wilm Stefan S Leve Verena V Neuenschwander Manuela M Kuss Oliver O Fehm Tanja T Ensenauer Regina R Schumacher Liesa L Lange Ute U Müller-Bößmann Dorit D Lappe Veronika V Ihle Peter P Adamczewski Heinke H Kaltheuner Matthias M Tamayo Miguel M Gräfe Viola V Westerhoff Benjamin B Wallerich-Herf Nadine N Schellhammer Stefanie S Kerres Thomas T Schmitz-Losem Imke I Cramer Stefan S Rupprecht Christoph J CJ Klüppelholz Birgit B Meyer Frank F Koch-Schulte Simone S Jüngling Ute U Icks Andrea A
BMJ open 20210802 8
<h4>Introduction</h4>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 ...[more]