Intersectoral collaboration in type 2 diabetes care revisited A project on the co-creation of intersectoral diabetes care in a Danish healthcare setting

Activity: Talk or presentation typesLecture or presentation


Around 10,000 adults who live in the area referred to as ‘Midtklyngen’ in the Central Denmark Region are diagnosed with type 2 diabetes. ‘Midtklyngen’ consists of three municipalities served by two out-patient diabetes clinics and 150 general practitioners. The burden of type 2 diabetes varies throughout the life of a patient, and the social inequalities associated with incidence, prevalence and risk of complications are well described. Furthermore, it is evident that cross-sectoral collaboration in connection with type 2 diabetes often causes fragmented care delivery. Thus, it is of great value to develop a model for collaboration across sectors; a model that promotes and supports the individual patient’s chances of living a meaningful life, minimising the clinical consequences of type 2 diabetes through high-quality treatment and care.
Purpose: The purpose of the present study was to develop a collaboration model, founded on the principle of joint population responsibility across the healthcare disciplines in Denmark, which are all involved in the cross-sectoral treatment of patients suffering from type 2 diabetes.

Setting: The study was conducted in the three municipalities of Silkeborg, Skive and Viborg, often referred to as ‘Midtklyngen’, in the Central Denmark Region, and was performed in the hospitals, municipal healthcare centres and general practices in these three municipalities. Baseline was 1 January 2020 and the study will be completed by the end of March 2022.
Population: All adults living in the municipalities of Silkeborg, Skive and Viborg who were diagnosed with type 2 diabetes.
Design: The study was designed as a quality and improvement project.
Data sources: Both quantitative population data and qualitative data which were collected through field studies and interviews were applied in the study.
Period25 May 2022
Event titleICIC - International Conference on Integrated Care
Event typeConference
LocationOdense, DenmarkShow on map
Degree of RecognitionInternational


  • health, nutrition and quality of life
  • shared population responsibility