{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T14:10:45Z","timestamp":1771942245820,"version":"3.50.1"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Res Health Serv Reg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Disease Management Programmes (DMP) in Germany were initiated to enhance the quality of ambulatory health care for specific chronic diseases. They aim to prevent the progression of the disease and comorbidity as well as to improve quality of life. It is the purpose of this paper to describe the contents of the web-based DMP atlas for North Rhine-Westphalia. The atlas provides a comprehensive overview of the regional DMP results, including outcomes at district level. In 2024, these analyses encompassed data of approximately 1.8\u00a0million patients. Quality of care is displayed by quality indicators for type 2 and type 1 diabetes, coronary heart disease, bronchial asthma, chronic obstructive pulmonary disease, breast cancer and osteoporosis. Outcomes are displayed at district level and can be stratified by age, sex, GPs\u2019 or specialists\u2019 care within the DMPs, the documentation of selected comorbid conditions and DMP participation period. Furthermore, information on comorbidity, health parameters, risk factors and medication are displayed. Again, these can be stratified by age and sex. The DMP atlas allows to identify areas with lower quality of care and subgroups of particularly vulnerable patients. Consequently, it can be seen as a contribution to the further development and specification of DMPs and ambulatory health care in Germany.<\/jats:p>","DOI":"10.1007\/s43999-026-00088-2","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T13:37:32Z","timestamp":1771940252000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The DMP atlas for North Rhine-Westphalia, Germany: results of the disease management programmes on district level"],"prefix":"10.1007","volume":"5","author":[{"given":"Sabine","family":"Groos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Kretschmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne","family":"Weber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Assheuer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernd","family":"Hagen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"88_CR1","unstructured":"Institut f\u00fcr Qualit\u00e4t und Wirtschaftlichkeit im Gesundheitswesen IQWiG [Institute for Quality and Efficiency in Health Care]. https:\/\/www.gesundheitsinformation.de\/was-sind-disease-management-programme-dmp.html"},{"key":"88_CR2","unstructured":"Bundesamt f\u00fcr Soziale Sicherung [Federal Social Security Office]. https:\/\/www.bundesamtsozialesicherung.de\/de\/themen\/disease-management-programme\/ueberblick\/"},{"key":"88_CR3","unstructured":"Gemeinsamer Bundesausschuss G-BA [Joint Federal Committee], DMP-Anforderungen-Richtlinie [DMP requirements guideline]. https:\/\/www.g-ba.de\/richtlinien\/83\/"},{"key":"88_CR4","unstructured":"Gemeinsame Einrichtung DMP Nordrhein [Joint institution DMP North Rhine] (Ed.) (2024) DMP annual report 2023 Nordrhein [North Rhine]. https:\/\/www.kvno.de\/fileadmin\/shared\/pdf\/print\/berichte\/dmp-berichte\/qualbe_dmp_23.pdf"},{"key":"88_CR5","unstructured":"Kassen\u00e4rztliche Vereinigung Westfalen-Lippe [Association of Statutory Health Insurance Physicians Westphalia-Lippe] (Ed.) (2024) DMP annual report 2023 Westfalen-Lippe [Westphalia-Lippe]. https:\/\/www.kvwl.de\/fileadmin\/user_upload\/pdf\/Mitglieder\/Versorgungsmodelle\/DMP\/QSB23WL_Gesamtbericht.pdf"},{"key":"88_CR6","unstructured":"Zi website Versorgungsatlas.de [Atlas of Health Care]. https:\/\/www.versorgungsatlas.de\/"},{"key":"88_CR7","unstructured":"Robert Koch-Institut RKI Diabetes Surveillance Deutschland [German diabetes surveillance]. https:\/\/diabsurv.rki.de\/Webs\/Diabsurv\/EN\/homepage\/home-node.html"},{"key":"88_CR8","unstructured":"Zi website DMP-Atlas NRW [North Rhine-Westphalia]. https:\/\/www.zi-dmp.de\/dmp-atlas_nrw\/index.html"},{"key":"88_CR9","unstructured":"Diabetes-Patienten-Verlaufsdokumentation DPV [Diabetes patient progress documentation]. https:\/\/buster.zibmt.uni-ulm.de\/projekte\/DPV\/"},{"key":"88_CR10","unstructured":"Wissenschaftliches Institut der Ortskrankenkassen WIdO [Scientific Institute of the Local Health Insurance Funds] Gesundheitsatlas Deutschland [German health atlas]. https:\/\/www.gesundheitsatlas-deutschland.de\/"},{"key":"88_CR11","unstructured":"Videncenter for Diabetes Diabetesatlas Danmark. https:\/\/videncenterfordiabetes.dk\/diabetesatlas"},{"key":"88_CR12","unstructured":"Swedish Society for Diabetology, Swedish National Diabetes Register NDR. https:\/\/ndr.registercentrum.se\/in-english\/the-swedish-national-diabetes-register\/p\/BJyILnupj"},{"key":"88_CR13","unstructured":"Finnish Institute for Health and Welfare, Diseases C Diabetes. https:\/\/thl.fi\/en\/topics\/chronic-diseases\/diabetes"},{"key":"88_CR14","unstructured":"Norwegian Institute of Public Health, Norwegian Diabetes Register for Adults. https:\/\/helsedata.no\/en\/forvaltere\/bergen-hospital-trust\/norwegian-diabetes-register-for-adults\/"},{"key":"88_CR15","unstructured":"Norwegian Institute of Public Health, Norwegian Cardiovascular Disease Register. https:\/\/helsedata.no\/en\/forvaltere\/norwegian-institute-of-public-health\/the-norwegian-cardiovascular-disease-registry\/"},{"key":"88_CR16","unstructured":"National Health Service NHS, Scotland Scottish Diabetes Survey. https:\/\/www.scotpho.org.uk\/health-conditions\/diabetes\/data\/scottish-diabetes-survey\/"},{"key":"88_CR17","unstructured":"National Health Service NHS England, National Diabetes Audit Programme. https:\/\/digital.nhs.uk\/data-and-information\/clinical-audits-and-registries\/national-diabetes-audit"},{"key":"88_CR18","unstructured":"Public Health England, Atlas of Variation in Risk Factors and Healthcare for Respiratory Disease in England. http:\/\/tools.england.nhs.uk\/images\/RespiratoryAtlas\/atlas.html"},{"key":"88_CR19","unstructured":"Dartmouth institute for health policy and clinical practice dartmouth atlas project, Dartmouth Atlas of Health Care. https:\/\/www.dartmouthatlas.org\/"},{"key":"88_CR20","unstructured":"International Diabetes Federation, IDF Diabetes Atlas. https:\/\/diabetesatlas.org\/"},{"issue":"1","key":"88_CR21","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s43999-022-00016-0","volume":"2","author":"R J\u00f6rg","year":"2023","unstructured":"J\u00f6rg R, Zufferey J, Zumbrunnen O, Kaiser B, Essig S, Zwahlen M, Schoch T, Widmer M (2023) The Swiss health care atlas-relaunch in scale. Res Health Serv Reg 2(1):3. https:\/\/www.versorgungsatlas.ch\/en","journal-title":"Res Health Serv Reg"},{"key":"88_CR22","unstructured":"Hagen B, Groos S, Kretschmann J, Macare C, Weber A (2018) Area level deprivation and quality of care in type 2 diabetes: Results from a disease management programme in North Rhine-Westphalia, Germany (PS 013:362). Poster, Congress of the European Association for the Study of Diabetes, Berlin. https:\/\/www.easd.org\/media-centre\/home.html#!resources\/area-level-deprivation-and-quality-of-care-in-type-2-diabetes-results-from-a-disease-management-programme-in-north-rhine-westphalia-germany"}],"container-title":["Research in Health Services &amp; Regions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43999-026-00088-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s43999-026-00088-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43999-026-00088-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T13:37:53Z","timestamp":1771940273000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s43999-026-00088-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,24]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["88"],"URL":"https:\/\/doi.org\/10.1007\/s43999-026-00088-2","relation":{},"ISSN":["2730-9827"],"issn-type":[{"value":"2730-9827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,24]]},"assertion":[{"value":"14 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"5"}}