ArticleHealth and quality of life outcomes2011
Development and validation of a short version of the Assessment of Chronic Illness Care (ACIC) in Dutch disease management programs.
Article in Health and quality of life outcomes, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- Design considerations for a remote randomized multi-site clinical trial evaluating an e-health self-management program for chronic pain patients receiving opioid therapy.Contemporary clinical trials · 2021Trial
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- Integrated Care for Older Adults Improves Perceived Quality of Care: Results of a Randomized Controlled Trial of Embrace.Journal of general internal medicine · 2017Trial
- Provider-Reported Readiness of Chronic Healthcare Services in Saudi Arabia Under the Health Sector Transformation Program.Saudi medical journal · 2026Article
- Navigating diabetes care inequities: an observational study linking chronic care model's structural elements to process and outcomes of type 2 diabetes care in Belgium.International journal for equity in health · 2025Observational
- Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study.BMC health services research · 2023Article
- Validation and the Reliability of the ACIC Questionnaire in the Primary Health Care Setting: a Study from Bosnia and Herzegovina.Acta medica academica · 2022Article
- Development and operationalization of a data framework to assess quality of integrated diabetes care in the fragmented data landscape of Belgium.BMC health services research · 2022Article
- Assessing the Pilot Implementation of the Integrated Multimorbidity Care Model in Five European Settings: Results from the Joint Action CHRODIS-PLUS.International journal of environmental research and public health · 2020Article
- Factors associated with access to health services and quality of life in knee osteoarthritis patients: a multilevel cross-sectional study.BMC health services research · 2019Article
- Evaluating an integrated primary care approach to improve well-being among frail community-living older people: A theory-guided study protocol.BMC geriatrics · 2018Article
- An integrated primary care approach for frail community-dwelling older persons: a step forward in improving the quality of care.BMC health services research · 2018Article
- The changing nature of chronic care and coproduction of care between primary care professionals and patients with COPD and their informal caregivers.International journal of chronic obstructive pulmonary disease · 2016Article
- Article
- Article
- Situational awareness, relational coordination and integrated care delivery to hospitalized elderly in the Netherlands: a comparison between hospitals.BMC geriatrics · 2014Article
- 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 · 2013Article
- The management of cardiovascular disease in the Netherlands: analysis of different programmes.International journal of integrated care · 2013Article
- Factorial validation of the Patient Assessment of Chronic Illness Care (PACIC) and PACIC short version (PACIC-S) among cardiovascular disease patients in the Netherlands.Health and quality of life outcomes · 2012Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the Netherlands the extent to which chronically ill patients receive care congruent with the Chronic Care Model is unknown. The main objectives of this study were to (1) validate the Assessment of Chronic Illness Care (ACIC) in the Netherlands in various Disease Management Programmes (DMPs) and (2) shorten the 34-item ACIC while maintaining adequate validity, reliability, and sensitivity to change.
methodsThe Dutch version of the ACIC was tested in 22 DMPs with 218 professionals. We tested the instrument by means of structural equation modelling, and examined its validity, reliability and sensitivity to change.
resultsAfter eliminating 13 items, the confirmatory factor analyses revealed good indices of fit with the resulting 21-item ACIC (ACIC-S). Internal consistency as represented by Cronbach's alpha ranged from 'acceptable' for the 'clinical information systems' subscale to 'excellent' for the 'organization of the healthcare delivery system' subscale. Correlations between the ACIC and ACIC-S subscales were also good, ranging from .87 to 1.00, indicating acceptable coverage of the core areas of the CCM. The seven subscales were significantly and positively correlated, indicating that the subscales were conceptually related but also distinct. Paired t-tests results show that the ACIC scores of the original instrument all improved significantly over time in regions that were in the process of implementing DMPs (all components at p < 0.0001).
conclusionWe conclude that the psychometric properties of the ACIC and the ACIC-S are good and the ACIC-S is a promising alternate instrument to assess chronic illness care.
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