3rd International DAWN Summit, Friday April 28, 2006
The global DAWN (Diabetes Attitudes Wishes and Needs) study in 2001, across 13
countries, the largest of its kind, demonstrated that huge gaps exist today
between the educational and psychosocial needs of people with diabetes and the
availability of educational and psychosocial support resources in the diabetes
healthcare system1 - 3.
To put the DAWN study findings into practice, people with diabetes, healthcare
professionals, decision makers and representatives from diabetes organisations
from more than 31 countries gathered in 2002 and 2003 to define the DAWN Worldwide
Call to Action4 - 5 for improved educational and psychosocial support for people
Five key goals for improved care on a global scale were identified.
To change the course of diabetes, we must:
- Enhance the communication between people with diabetes and healthcare
- Promote improved communication and co-ordination among healthcare professionals
- Promote active self-management
- Reduce the barriers to effective therapy
- Improve psychological care for people with diabetes
Today, the DAWN programme, a global Novo Nordisk initiative in close collaboration
with the International Diabetes Federation (IDF), facilitates best practice
sharing and concerted advocacy and action in more than 25 countries.
As a result, awareness of the importance of addressing the person behind the
disease has increased and sustainable and innovative models for implementing
truly patient-centred diabetes care on a national and regional level have been
identified. Validated tools, models and training programs have emerged to support
healthcare professionals, people with diabetes and decision makers in making
the required changes to enable people with diabetes achieve improved health
and quality of life.
However, much remains to be done to change the priorities of healthcare systems
towards prevention, patient-centred care and large-scale implementation of
cost-effective sustainable solutions for daily care that allow all people with
diabetes to benefit, including those from underprivileged communities.
DAWN Summit Organising Committee:
- Best practice sharing worldwide on how to successfully deliver
patient-centred care for patients with chronic illness.
- Facilitate new dialogue and partnerships between all key stakeholders
in diabetes worldwide to address the rapidly growing burden of the disease.
- Define priorities for concerted action and advocacy to implement
a truly patient-centred chronic care and prevention model on a national and
regional basis to reduce the disparities in health and the overall burden
of chronic disease.
- Introduce new initiatives to improve health and quality of life
for people with diabetes and those at risk especially among underprivileged
minority populations, such as children, elderly, ethnic minorities and low-income
F. Snoek, The Netherlands, Chair
I. Brorly, Denmark
R. Colagiuri, Australia
N. Geelhoed, The Netherlands
H. Ishii, Japan
L. Kleinebreil, France
R. Landgraf, Germany
T. Lauritzen, Denmark
A. Ramachandran, India
R. Rubin, United States
S. Skovlund, Denmark
- M. Peyrot; R.R. Rubin; T. Lauritzen; F.J. Snoek; D. Matthews; S.E.
Skovlund on behalf of the DAWN International Advisory Board: Psychosocial
Problems and Barriers to Improved Diabetes Management: Results of the Cross-national
Diabetes Attitudes, Wishes and Needs (DAWN) Study. Diabetic Medicine
22, 1379–1385 (2005).
- M. Peyrot; R.R.Rubin; T. Lauritzen; S.E. Skovlund; F.J. Snoek; D.R.
R. Landgraf; L.Kleinebreil on behalf of the International DAWN Advisory
Board: Resistance to Insulin Therapy among Patients and Providers: Results
of the Cross- Peyrot et al: Patient and Provider Perceptions of Care for
Diabetes: Results of the Cross-national DAWN Study. Diabetes Care, Vol
28, Issue 11, 2673-2679, 2005.
- M. Peyrot; R.R. Rubin; T. Lauritzen; S.E. Skovlund; F.J. Snoek; D.R.
R. Landgraf on behalf of the DAWN International Advisory Panel: Patient
and Provider Perceptions of Care for Diabetes: Diabetologia, accepted
for publication, 2006.
- Skovlund, S; M. Peyrot on behalf of the DAWN International Advisory
Board: The DAWN Programme, A new approach to improving outcomes
of diabetes care. Diabetes Spectrum, Volume 18, 3,136-142, 2005
5. IDF, Putting People at the Centre of Care, June 2004. Diabetes Voice
Special Issue. http://www.diabetesvoice.org/issues/2004-05/
Additional information about the DAWN programme is available at http:www.dawnstudy.com