scholarly journals The use of the Patient Assessment of Chronic Illness Care (PACIC) instrument in diabetes care: a systematic review and meta-analysis

2018 ◽  
Vol 30 (10) ◽  
pp. 743-750 ◽  
Author(s):  
Chantal Arditi ◽  
Katia Iglesias ◽  
Isabelle Peytremann-Bridevaux
Keyword(s):  
Systematic Review ◽  
Chronic Illness ◽  
Diabetes Care ◽  
Meta Analysis ◽  
Chronic Illness Care ◽  
Patient Assessment

scholarly journals Patients’ Assessment of Care for Type 2 Diabetes: Results of the Patient Assessment of Chronic Illness Care Scale in A Danish Population

2020 ◽  
Author(s):  
Anne Frølich ◽  
Ann Nielsen ◽  
Charlotte Glümer ◽  
Hanne Birke ◽  
Christian U Eriksen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Quality Of Care ◽  
Chronic Illness ◽  
Diabetes Care ◽  
Emergency Department Visits ◽  
Descriptive Statistics ◽  
Chronic Illness Care ◽  
Patient Assessment

Abstract Background: The Patient Assessment of Chronic Illness Care (PACIC) scale is the most appropriate for assessing self-reported experience in chronic care. However, it has yet to be validated in a Danish diabetes population. We aimed to validate the PACIC, assess the quality of care for Danish patients with type 2 diabetes, and identify factors associated with quality of care. Methods: A survey of 7,745 individuals randomly selected from the National Diabetes Registry. Descriptive statistics inter-item and item-rest correlations and factor analysis assessed the PACIC properties. Quality of care was analysed with descriptive statistics; linear and multiple regression assessed the effect of forty-nine covariates on total and subscale scores. Results: In total, 2,696 individuals with type 2 diabetes completed ≥ 50% of items. The floor effect for individual items was 8.5-74.5%; the ceiling effect was 4.1- 47.8 %. Cronbach’s alpha was 0.73-0.86 for the five subscales. The comparative fit index (CFI) and the Tucker–Lewis index (TLI) were 0,87, and 0,84, respectively. Mean PACIC score was 2.44 (± 0.04). Respondents receiving rehabilitation and reporting primary of diabetes care had higher total mean scores; those 70 years or older had lower mean total and subscale scores. A higher number of diabetes visits were associated with higher total scores; higher number of emergency department visits were associated with lower total scores. The effect of healthcare utilisation on subscale scores varied. Conclusions: Floor effects suggest a need for further evaluation of the PACIC questionnaire in Danish settings. Total PACIC scores were lower than in other healthcare systems, possibly being a result of different contexts and cultures, and of a need for improving diabetes care in Denmark.

scholarly journals Patients' assessment of care for type 2 diabetes: Results of the Patient Assessment of Chronic Illness Care scale in a Danish population

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anne Frølich ◽  
Ann Nielsen ◽  
Charlotte Glümer ◽  
Christian U Eriksen ◽  
Helle Terkildsen Maindal ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Quality Of Care ◽  
Chronic Illness ◽  
Diabetes Care ◽  
Descriptive Statistics ◽  
Chronic Illness Care ◽  
Patient Assessment ◽  
Danish Population

Abstract Background The Patient Assessment of Chronic Illness Care (PACIC) scale is the most appropriate for assessing self-reported experience in chronic care. We aimed to validate the PACIC questionnaire by (1) assess patients’ perception of the quality of care for Danish patients with type 2 diabetes, (2) identify which factors are most important to the quality of care designated by the five subscales in PACIC, and (3) the validity of the questionnaire. Methods A survey of 7,745 individuals randomly selected from the National Diabetes Registry. Descriptive statistics inter-item and item-rest correlations and factor analysis assessed the PACIC properties. Quality of care was analysed with descriptive statistics; linear and multiple regression assessed the effect of forty-nine covariates on total and subscale scores. Results In total, 2,696 individuals with type 2 diabetes completed ≥ 50 % of items. The floor effect for individual items was 8.5–74.5 %; the ceiling effect was 4.1–47.8 %. Cronbach’s alpha was 0.73–0.86 for the five subscales. The comparative fit index (CFI) and the Tucker–Lewis index (TLI) were 0,87, and 0,84, respectively. Mean PACIC score was 2.44 (± 0.04). Respondents, who receive diabetes care primarily at general practice and outpatient clinics had higher scores compared to those receiving care at a private specialist. Receiving rehabilitation was followed by higher scores in all subscales. Those 70 years or older had lower mean total and subscale scores compared to younger patient groups. A higher number of diabetes visits were associated with higher total scores; a higher number of emergency department visits were associated with lower total scores. The effects of healthcare utilisation on subscale scores varied. Conclusions These results provide insight into variations in the quality of provided care and can be used for targeting initiatives towards improving diabetes care. Factors important to the quality of perceived care are having a GP or hospital outpatient clinic as the primary organization. Also having a higher number of visits to the two organizations are perceived as higher quality of care as well as participating in a rehabilitation program. Floor and ceiling effects were comparable to an evaluation of the PACIC questionnaire in a Danish population. Yet, floor effects suggest a need for further evaluation and possible improvement of the PACIC questionnaire in a Danish setting. Total PACIC scores were lower than in other healthcare systems, possible being a result of different contexts and cultures, and of a need for improving diabetes care in Denmark.

Health Outcomes of Parents of Children with Chronic Illness: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 218 ◽  
pp. 166-177.e2 ◽  
Author(s):  
Liel N. Cohn ◽  
Petros Pechlivanoglou ◽  
Yuna Lee ◽  
Sanjay Mahant ◽  
Julia Orkin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Illness ◽  
Health Outcomes ◽  
Meta Analysis

scholarly journals Improving Diabetes Care in Rural Areas: A Systematic Review and Meta-Analysis of Quality Improvement Interventions in OECD Countries

PLoS ONE ◽  
2013 ◽  
Vol 8 (12) ◽  
pp. e84464 ◽  
Author(s):  
Ignacio Ricci-Cabello ◽  
Isabel Ruiz-Perez ◽  
Antonio Rojas-García ◽  
Guadalupe Pastor ◽  
Daniela C. Gonçalves
Keyword(s):  
Systematic Review ◽  
Quality Improvement ◽  
Diabetes Care ◽  
Rural Areas ◽  
Meta Analysis ◽  
Oecd Countries ◽  
Improvement Interventions ◽  
Quality Improvement Interventions

scholarly journals Autoeficacia y satisfacción de los usuarios con diabetes tipo 2 de un centro de salud chileno

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Carlos Alberto Fernández Silva ◽  
Betty Antiñirre Mansilla ◽  
Viviana Carolina De La Hoz Chávez
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Illness ◽  
Chronic Illness Care ◽  
Patient Assessment ◽  
Diabetes Tipo 2

Introducción: La diabetes mellitus es un problema de salud pública que ocasiona afecciones biopsicosociales en los individuos que la padecen, conllevando a la necesidad de valorar aspectos que pueden incidir en su compensación tal como la autoeficacia y la satisfacción usuaria. Materiales y métodos: Se desarrolló una investigación cuantitativa de tipo correlacional que tuvo como referente el Modelo de Promoción de la Salud, y que incluyó  por muestreo aleatorio simple a 86 individuos con diabetes mellitus tipo 2, en quienes se pudo establecer su perfil, percepción de autoeficacia y satisfacción usuaria  a través del instrumento para la evaluación de autoeficacia en Diabetes tipo 2 (alfa de Cronbach de 0,85) y el PACIC(Patient Assessment of Chronic Illness Care) (alfa de Cronbach de 0,88). Resultados: Los usuarios en su mayoría son mujeres (65%), en etapa de adulto medio (65,1%), se perciben como autoeficaces(82,6%) y muestran satisfacción por el servicio ofrecido(76,7%), presentando descompensación metabólica (57%). Se pudo apreciar asociación entre la autoeficacia y el grupo etario (p=0,002), contar con pareja (p=0,029), la hemoglobina glicosilada (p=0,007) y el estado cognitivo de los adultos mayores (p=0,017), al igual que entre la satisfacción y el grupo etario (p=0,033), el sexo (<0,001), y la situación laboral (p=0,005). Discusión: El perfil establecido coincide con el reportado en otras publicaciones. La autoeficacia y satisfacción usuaria son aspectos que se relacionan con la compensación de los usuarios. Conclusiones: Se requiere potenciar aspectos como la autoeficacia y la satisfacción usuaria,  siendo pertinente la aplicación del Modelo de Promoción de la Salud. Como citar este artículo: Fernández-Silva Carlos Alberto, Antiñirre Mansilla Betty, De La Hoz Chávez Viviana Carolina. Autoeficacia y satisfacción de los usuarios con diabetes tipo 2 de un centro de salud chileno. Revista Cuidarte. 2020; 11(2): e933. http://dx.doi.org/10.15649/cuidarte.933

Patient Assessment of Chronic Illness Care

2005 ◽  
Author(s):  
Russell E. Glasgow ◽  
Edward H. Wagner ◽  
Judith Schaefer ◽  
Lisa D. Mahoney ◽  
Robert J. Reid ◽  
...  
Keyword(s):  
Chronic Illness ◽  
Chronic Illness Care ◽  
Patient Assessment

scholarly journals Hypertension management: what is the role of case management?

2018 ◽  
Vol 51 (0) ◽  
Author(s):  
Nurhan Ozpancar ◽  
Sezgi Cinar Pakyuz ◽  
Birol Topcu
Keyword(s):  
Chronic Illness ◽  
Case Management ◽  
Antihypertensive Medication ◽  
Control Group ◽  
Chronic Illness Care ◽  
Hypertension Management ◽  
Study Group ◽  
Patient Assessment ◽  
Medication Treatment ◽  
And Control

ABSTRACT Objective The aim of this study was to determine the effect of case management on hypertension management and on adherence to antihypertensive medication and chronic disease care of patients with hypertension. Method This study was conducted as an experimental and randomized controlled study. The sample of the study consisted of randomly selected patients with hypertension who did not have communication problems, who used antihypertensive medication treatment and whose treatment had been continuing for at least six months. The study group was given individual training (Hypertension causes, the risk factors, significance, unwanted side effects, medication treatment, changes in life style) and was applied case management model in hypertension – joint care protocol but no intervention was offered to the control group. Data was collected using the adherence to antihypertensive medication scale, the patient assessment of chronic illness care in the first and six months later interview. Results There was no significant difference between the study and control group according to adherence to antihypertensive medication and patient assessment of chronic illness care in the first interview. Otherwise, there were significant differences between the study and control group according to blood pressure, adherence to antihypertensive medication and patient assessment of chronic illness care in the six months later interview. The adherence to antihypertensive medication total score and the patient assessment of chronic illness care total score were significantly higher in the study group compared with control group in the six months later interview. Conclusion The case management plays an important role the in control of hypertension, and can improve adherence to antihypertensive medication and chronic illness care.

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