title: ["DIabetes Versorgungs-Evaluation" (DIVE)--a national quality assurance initiative at physicians providing care for patients with diabetes].
abstract: BACKGROUND
  Due to the variety of affected organ systems, necessitating a multidisciplinary and interconnected approach in deciding on individual diagnostic and therapeutic strategies, a structured documentation of data for patients suffering from diabetes mellitus is steadily gaining importance. Towards this purpose, multiple quality initiatives (e. g. SWEET, QS-DPV, EUBIROD etc.) as well as several software systems (e. g. [DPV2] DIAMAX, DPV, EMIL, Qmax etc.) have been developed to capture patient-related data. This is further complicated by the necessity to exchange data with a large variety of doctor's office administration systems.
  
  
  METHODS
  To address this complex of issues, DiabetesDE in cooperation with several societies, doctor's associations and prospective end users launched a national register platform. DIVE (Diabetes Care Evaluation) is aimed at establishing a national diabetes register to centrally capture data from diabetes patients being treated by diabetology specialists in Germany, thus making them available for quality assurance and health services research.
  
  
  RESULTS
  Since September 2011, 142 so far participating doctors have documented data for 84,774 patients. Compared to patients treated by general practitioners, persons under specialist care show a more advanced clinical picture with substantial co-morbidity.
  
  
  CONCLUSIONS
  DIVE provides a national platform which will address essential fields of activity with regard to the development of a national diabetes strategy--epidemiology, diabetes registry, health care research, quality assurance--based on usual office administration systems, thus contributing to the improvement of care and treatment for patients suffering from diabetes.
authors.affiliation: Kinder- und Jugendkrankenhaus AUF DER BULT, Hannover. danne@hka.de
authors.forename: T
authors.initials: T
authors.lastname: Danne
authors.forename: M
authors.initials: M
authors.lastname: Kaltheuner
authors.forename: A
authors.initials: A
authors.lastname: Koch
authors.forename: S
authors.initials: S
authors.lastname: Ernst
authors.forename: W
authors.initials: W
authors.lastname: Rathmann
authors.forename: H-J
authors.initials: HJ
authors.lastname: Rüssmann
authors.forename: P
authors.initials: P
authors.lastname: Bramlage
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D003628:Database Management Systems / Q000592:standards; D048909:Diabetes Complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000188:drug therapy* / Q000453:epidemiology; D004282:Documentation / Q000592:standards; D004359:Drug Therapy, Combination; D005260:Female; D005858:Germany; D006302:Health Services Research; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D033183:Interdisciplinary Communication; D008297:Male; D016347:Medical Records Systems, Computerized / Q000592:standards; D008875:Middle Aged; D009313:National Health Programs / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000592:standards*; D012042:Registries; D012984:Software; D013038:Specialization; D055815:Young Adult
chemical_list: D007004:Hypoglycemic Agents