ArticleBMC health services research2009
Structured chronic primary care and health-related quality of life in chronic heart failure.
Article in BMC health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Identification, summary and comparison of tools used to measure organizational attributes associated with chronic disease management within primary care settings.Journal of evaluation in clinical practice · 2014Pooled it
- The effectiveness of chronic care management for heart failure: meta-regression analyses to explain the heterogeneity in outcomes.Health services research · 2012Pooled it
- Improvement of primary care for patients with chronic heart failure: a study protocol for a cluster randomised trial comparing two strategies.Implementation science : IS · 2011Trial
- Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study.BMC health services research · 2023Article
- Opposite trends in hospitalization and mortality after implementation of a chronic care model-based regional program for the management of patients with heart failure in primary care.BMC health services research · 2018Article
- Improving kNowledge Transfer to Efficaciously RAise the level of Contemporary Treatment in Heart Failure (INTERACT-in-HF): Study protocol of a mixed methods study.International journal of care coordination · 2017Article
- Assessment of quality of life of the children and parents affected by inborn errors of metabolism with restricted diet: preliminary results of a cross-sectional study.Health and quality of life outcomes · 2013Article
- Context factors in general practitioner-patient encounters and their impact on assessing communication skills--an exploratory study.BMC family practice · 2013Article
- Heart failure patients' experiences with continuity of care and its relation to medication adherence: a cross-sectional study.BMC family practice · 2012Article
- Primary Healthcare Organization and Quality-of-Life Outcomes for Persons with Chronic Disease.Healthcare policy = Politiques de sante · 2012Article
- Philosophical implications of the systemic and patient-oriented management of chronic heart failure.Journal of religion and health · 2011Article
- The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure.Implementation science : IS · 2010Article
- Improvement of primary care for patients with chronic heart failure: a pilot study.BMC health services research · 2010Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStructured care is proposed as a lever for improving care for patients with chronic conditions. The purpose of this study was to explore the associations of structured care characteristics, derived from the Chronic Care Model, with health-related quality of life (HRQOL) and optimal clinical management in chronic heart failure (CHF) patients in primary care, as well as the association between optimal management and HRQOL.
methodsCross-sectional observational study using multi-level random-coefficient analyses of a representative sample of 357 patients diagnosed with CHF from 42 primary care practices in the Netherlands. We combined individual medical record data with patient and physician questionnaires.
resultsThere was large variation in the levels and presence of structured care elements. A 91% of physicians indicated that next appointments for CHF patients were made immediately after visits, while 11% indicated that reminders on CHF management were periodically received in their practice. Few associations were found between the organizational characteristics and optimal treatment or HRQOL. Optimal pharmacological treatment related to better quality of life (beta = -11.5, P < .0001). Also, more lifestyle advice was given in practices with an appointment system allowing contact with more than one professional during the encounter (beta = 1.0, P = .04).
conclusionHRQOL and treatment quality in CHF patients were not consistently associated with characteristics of structured care in primary care practices.
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Registered trials
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