Overview on diabetes policy frameworks in the European Union and in other European countries

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1 Overview on policy frameworks in the European Union and in other European countries Countries plan Guidelines Belgium Guidelines for good medical practice type 2 The Belgian is limited to newly diagnosed people with aged under 40 years. INAMI 2009 chronic disease management care trajectories for type 2 project Zoet Zwanger, a prevention project targeting women with gestational put in place in the Flanders region in 2009 From 2012 to 2015, the Flemish association is planning activities for the prevention of as a partner organization of the Flemish authorities & regional authorities have set goals for healthy food and exercise uptake Bulgaria Bulgarian Association for Endocrinology s Endocrinology and metabolic disease (2005) Bulgarian association updated programmes of activities Adoption of a programme for prevention, early diagnosis and treatment of and its complications Czech Republic Second Programme (2000) Czech Society s comprehensive Ongoing reform of the healthcare system Implementation of the national Programme ( ) Denmark Action Plan (2003) Board of Health Guidelines (1994) Facts on and national board of Health (2010) Germany No, in preparation Group of the Scientific Medicine Association s Care Guidelines (2000), German Healthcare Professional Association s for the treatment and care of The Action Forum continues to prepare its Programme, Agenda 2010 Introduction of national Completion of Programme Estonia Guidelines on Type 1 Treatment (1998), Guidelines on Type 2 Treatment (1999), Diabetic Ketoacidosis Treatment in children (2003) Ireland Irish College of Practitioners Guidelines on Care (2008) Establishment in 2008 of an A national, a expert advisory Group to advise national screening programme on improved delivery of for diabetic retinopathy and care and in 2010 of a implementation of a national national working programme for diabetic foot group to implement the findings care of the expert advisory Group Greece Joint Hellenic Centre for the Research, Prevention and Treatment of Mellitus and its Complications, Greek Federation and others New for type 1 are being developed * The source of information is the 2011 Report from the International Federation European Region (IDF Europe) and the Federation of European Nurses in (FEND), together with Primary Care Europe (PCDE) and the European Alliance for Research in (EURAD entitled ' - The Policy Puzzle: Is Europe Making Progress?.

2 Overview on policy frameworks in the European Union and in other European countries Countries plan Guidelines Spain Strategy Multiple regional plans adopted in about two thirds of autonomous Communities Health system Clinical practice Guideline on type 2 Clinical Guidelines for type 1 (unpublished) Completion of clinical for type 1 and type 2, Andalusia launched its second Plan ( ), review of national strategy Exploitation of research data; publications on and obesity, eating patterns in relation to risk factors, physical activity and genetic aspects France The French Health authority is revising and establishing a new set of good practice for the treatment of type 2, which will be published in the first half of 2012 Plan to improve the quality of life of People living with Chronic Disease ( ); Continuous care and support telephone service, sophia ( ), national obesity Plan ( ) Third national nutrition and Health Programme and updated for the treatment of type 2 (expected 2012) Italy Italian standards for Care ( ) Development of education and training for professionals at regional and local level; Gaining Health campaign; Italian standards of care for mellitus Cyprus Plan Improvements in the Cyprus Cyprus to be rolled out in all health centres by 2013 and to include additional data, such as family history, exercise and selfmonitoring & update of the existing action Plan on Latvia Prevention, Diagnosis and treatment of type 2 (2007) Rational pharmacotherapy for treatment of within the reimbursement system (2007) Public Health Guidelines Draft for the period 2011 to 2017 Lithuania programme for Control Ministry of Health, reviewed in 2005 Recognition and reimbursement of nurses and podiatrists (2010) Extension of the national Programme for Control and update of recommendations for diagnosis and treatment Luxembourg Based on IDF Global for type 2 Various awareness campaigns Increased government involvement with stakeholders Hungary Advisory Board of Internal Medicine Guidelines (2002) Ongoing comprehensive reform of the healthcare system Malta Netherlands Ministry of Health, Welfare and Sport s Action Programme European Policy Group for treatment and international Dutch College of General Practitioners, Government on and pregnancy, Dutch Institute for Healthcare Publication of non- Communicable Disease strategy, which includes (2010) Continued advocacy to build a national framework Updated action Programme, the bundledpayment concept approved for Reaching the goals of nationwide implementation and action Programme nationwide care audits in 2008 and 2010 * The source of information is the 2011 Report from the International Federation European Region (IDF Europe) and the Federation of European Nurses in (FEND), together with Primary Care Europe (PCDE) and the European Alliance for Research in (EURADIA), entitled ' - The Policy Puzzle: Is Europe Making Progress?.

3 Overview on policy frameworks in the European Union and in other European countries Countries plan Guidelines Austria Austrian Plan (2005) Austrian Association s Guidelines for (2009) Ministry of Health 2009 update of the Austrian association Guidelines for Implementation of the 2006 Disease management programme throughout the country and creation of a national Poland Clinical Guidelines for Treatment (2011) Programme for the Prevention and treatment of in Poland for Portugal Programme for Prevention and Control Dossier for practitioners and Diabetics Guide for people with Epidemiological study on national and regional prevalence (2009), creation of the observatory,, extension of retinopathy screening, monthly foot inspections in 30% of primary care centres, integrated management in 5 regions Review of the national Plan, extend foot and retinopathy screening, reduce -related hospital admissions and amputations, coordination of primary prevention efforts with other chronic diseases Romania Programme for Mellitus and other Nutritional Diseases Slovenia prevention and Care Development programme (2010- Guidelines for Type ) action plan People with Implementation of the type 1 action Plan only Guidelines for type 1 in adults and for type 1 in children and adolescents Slovakia Programme Multiple : people with type 1 only Update of the national Plan and establishment of three paediatric care centres sponsored by the Slovakian society Finland Development Programme for the Prevention and Care of & Programme for the Prevention of type Multiple In 2010, the ministry of social affairs and Health developed a strategy for socially sustainable Finland 2020 Follow up of national Plan Sweden Board of Health and Welfare s Guidelines for Care Guidelines for Health promotion in Healthcare Revised national for prevention The national board of Health and welfare are preparing dietary recommendations for people with United Kingdom Service Framework (NSF) for (2001) Institute for Health and Clinical Excellence, General Medical Services Contract, Quality Outcomes Framework audit , several clinical practice, NHS scotland action Plan (2010) and NHS website * The source of information is the 2011 Report from the International Federation European Region (IDF Europe) and the Federation of European Nurses in (FEND), together with Primary Care Europe (PCDE) and the European Alliance for Research in (EURADIA), entitled ' - The Policy Puzzle: Is Europe Making Progress?.

4 Overview on policy frameworks in the European Union and in other European countries Countries plan Guidelines Iceland programme being developed Clinical for type 2, last revised in 2011 Clinical for in pregnancy being revised in 2011 No: plans for a were rejected by the icelandic Data Protection authority Intensified campaigns by the Icelandic Diabetic association to increase awareness of and increased activities around world Day including meetings in Parliament and media activities Completion of national Programme Norway Continued implementation of the national strategy ( ), national Clinical Guidelines on (2009), Patient version of national Clinical Guidelines (2010) Use of standardized computerbased files in primary and hospital care, update and implementation of Clinical Guidelines, Development of better information and training materials for ethnic minority groups Switzerland Intensified lobbying Primary and secondary prevention programmes Croatia Programme of Care with Particular Initiative in Prevention and Early Detection (2007) Annual reports Professional for treatment (1994) Implementation of new for the clinical treatment of (2009) & action plan for prevention and reduction of obesity Implementation of a government resolution on & further implementation of the national programme The former Yugoslav Republic of Macedonia Developed using international recommendations : more than 50% of people with recorded fully implemented in all regions (2011) and update of the national plan (2010) Implementation of new strategy with focus on preventing type 2 Serbia Turkey plan (2011) Turkish endocrinology and metabolism Guideline (2010) Professional Guidelines published by the turkish Foundation (2011) Strategy for prevention and control of chronic ncds and European DE-PLAN for the prevention of type 2 national Plan launched in 2011 and reform of the health insurance system underway Course in management of type 2 prevention to be organized by the association of Serbia and translated eu (IMAGE) for the prevention of type 2 to be sent to all stakeholders in the healthcare system Completion of the health insurance reform national * The source of information is the 2011 Report from the International Federation European Region (IDF Europe) and the Federation of European Nurses in (FEND), together with Primary Care Europe (PCDE) and the European Alliance for Research in (EURADIA), entitled ' - The Policy Puzzle: Is Europe Making Progress?.

5 Overview on policy frameworks in the European Union and in other European countries Countries plan Guidelines Albania Armenia No, local professionals are preparing a draft of a national programme to be discussed and agreed in 2012 Reportedly including almost all people with Introduction of screening programmes and world Day awareness campaigns in regions of Albania, especially Tirana Guidelines on Diagnosis, treatment and follow-up, published in 2011, national ( ), Albanian association ( ) is planning nationwide training for general practitioners Development and negotiation of a national programme for Azerbaijan programme Approval of a clinical protocol for type 2 No official monitoring of the use of the protocol Managed by a department of the ministry of Health and including more than 50% of the known cases Belarus Clinical protocols for the diagnosis and treatment of Georgia Guidelines for General practitioners on the management of Blood Glucose Only for children Israel Moldova To be published Israel association (for type 1 published in 2010; for type 2 to be published 2012) Clinical protocol for : approximately 50% of people diagnosed with ed Overall increase in awareness of and lifestyle issues restaurants providing special menus, appearance of healthy restaurants Campaign to promote healthy diets in nurseries and primary schools; prohibition of sale of sugar-sweetened beverages in educational institutions Implementation of national retinopathy and foot projects and implementation of the newly approved national Programme ( ) Russian Federation Implemented in 1996 for 15 years Ukraine programme No: regional s only Implementation of national Programme * The source of information is the 2011 Report from the International Federation European Region (IDF Europe) and the Federation of European Nurses in (FEND), together with Primary Care Europe (PCDE) and the European Alliance for Research in (EURADIA), entitled ' - The Policy Puzzle: Is Europe Making Progress?.

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