Do the national care trajectories diabetes and chronic care management in various European countries.

In order to improve quality of care for chronic conditions, in 2009 the National Institute for Health and Disability Insurance in Belgium created care trajectories (CTs) for diabetes mellitus type 2 (T2DM) and chronic kidney disease (CKD). A CT, formalised by a contract between patient, GP and specialist, aims to ensure integrated, evidence-based, multidisciplinary and structured care for chronic diseases in primary care.The ACHIL (Ambulatory Care Health Information Laboratory) study assesses whether inclusion in a CT leads to better quality of care for chronic disease, both over time and in comparison with other clinically comparable patients.