title: Several factors influenced general practitioner participation in the implementation of a disease management programme.
abstract: BACKGROUND
  Disease management programmes (DMPs) require a high degree of participation from general practitioners (GPs) in order to succeed. We aimed to describe the participation among Danish GPs in a DMP.
  
  
  METHODS
  A quality improvement project entitled the Chronic Care Compass (CCC) was introduced in 2010 by the Central Denmark Region. The project was based on DMPs targeting persons suffering from three chronic diseases (diabetes, chronic obstructive pulmonary disease and acute coronary syndrome). All GPs in the region were invited to participate. We obtained data from administrative registries and studied the participation and its association with characteristics of practices and patients. Differences in participation were assessed using binomial regression models.
  
  
  RESULTS
  A total of 271 (69.1%) practices participated in the CCC. The participation was 28.9 percentage points (pp) (confidence interval (CI): 14.3; 43.6) lower among GPs who were older than 60 years versus younger than 50 years, 32.2 pp (CI: 19.1; 45.2) lower among GPs who provided few versus many chronic care consultations, 13.7 pp (CI: 1.7; 25.6) lower among GPs with lower versus medium practice gross income, and 16.9 pp (CI:6.1; 27.8) lower among GPs with a patient population with medium versus low degree of socio-economic deprivation.
  
  
  CONCLUSIONS
  Participation in the CCC was lower among GPs who provided less chronic care, had a lower practice gross income and had a patient population with a higher degree of deprivation.
  
  
  BACKGROUND
  The project was supported by the Research Unit for General Practice, Aarhus University, and the Lundbeck Foundation.
  
  
  BACKGROUND
  not relevant.
authors.affiliation: Research Unit for General Practice, Department of Public Health, Faculty of Health, Aarhus University, Denmark. Bartholins Allé 2, 8000 Aarhus C. ar@feap.dk.
authors.forename: Anette Riisgaard
authors.initials: AR
authors.lastname: Ribe
authors.forename: Morten
authors.initials: M
authors.lastname: Fenger-Grøn
authors.forename: Peter
authors.initials: P
authors.lastname: Vedsted
authors.forename: Flemming
authors.initials: F
authors.lastname: Bro
authors.forename: Lone
authors.initials: L
authors.lastname: Kærsvang
authors.forename: Mogens
authors.initials: M
authors.lastname: Vestergaard
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000628:therapy*; D003718:Denmark; D019468:Disease Management; D005260:Female; D058006:General Practice / Q000379:methods / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D058996:Quality Improvement / Q000458:organization & administration*