Evidence map›Paper›PMID 20979632›Full record

ArticleHealth and quality of life outcomes2010

Assessment of Chronic Illness Care with the German version of the ACIC in different primary care settings in Switzerland.

Claudia Steurer-Stey, Anja Frei, Gabriela Schmid-Mohler, Sibylle Malcolm-Kohler, Marco Zoller, Thomas Rosemann

Abstract read
In one paragraph

Article in Health and quality of life outcomes, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. High-quality chronic care delivery improves experiences of chronically ill patients receiving care.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2013
    Article
  4. Article
  5. Integrated care organizations in Switzerland.International journal of integrated care · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Claudia Steurer-SteyDepartment of General Practice and Health Services Research, University of Zurich, University Hospital of Zurich, Sonneggstrasse 6, CH-8091 Zürich, Switzerland. claudia.stey@usz.ch
Anja Frei
Gabriela Schmid-Mohler
Sibylle Malcolm-Kohler
Marco Zoller
Thomas Rosemann

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Switzerland the extent to which patients with chronic illnesses receive care congruent with the Chronic Care Model (CCM) is unknown.

methodsAccording to guidelines we translated the Assessment of Chronic Illness Care (ACIC) into German (G-ACIC). We tested the instrument in different primary care settings and compared subscales with the original testing.

resultsDifficulties encountered during the translation process consisted in the difference of health care settings in Switzerland and USA. However initial testing showed the G-ACIC to be a suitable instrument. The average ACIC subscale scores in Swiss managed care (MC)-, group (GP)- and single handed practices (SP) were higher for MC practices than for group- and single handed practices: Organization of the healthcare delivery system: MC mean (m) = 6.80 (SD 1.55), GP m = 5.42 (SD 0.99), SP m = 4.60 (SD 2.07); community linkages: MC m = 4.19 (SD 1.47), GP m = 4.83 (SD 1.81), SP m = 3.10 (SD 2.12); self-management support: MC m = 4.96 (SD 1.13), GP m = 4.73 (SD 1.40), SP m = 4.43 (SD 1.34); decision support: MC m = 4.75 (SD 1.06); GP m = 4.20 (SD 0.87), SP m = 3.25 (SD 1.59); delivery system design: MC m = 5.98 (SD 1.61), GP m = 5.05 (SD 2.05), SP m = 3.86 (SD 1.51) and clinical information systems: MC m = 4.34 (SD = 2.49), GP m = 2.06 (SD 1.35), SP m = 3.20 (SD 1.57).

conclusionsThe G-ACIC is applicable and useful for comparing different health care settings in German speaking countries. Managed care organizations seem to implement the different components of the CCM in a greater extend than group and single handed practices. However, much room exists for further improvement.

Indexed as

Outcome and Process Assessment, Health CareQuality of LifeSurveys and QuestionnairesChronic DiseaseGermanyHumansLanguagePsychometricsQuality of Health CareSwitzerlandTranslating

Identifiers

PMID20979632
PMCPMC2988060

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.