ArticleBMC health services research2012
Identifying factors associated with experiences of coronary heart disease patients receiving structured chronic care and counselling in European primary care.
Article in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 32 citations in OpenAlex.
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- Continuity of primary care for type 2 diabetes and hypertension and its association with health outcomes and disease control: insights from Central Vietnam.BMC public health · 2024Article
- Evaluation of Satisfaction with Healthcare Services in Multimorbid Patients Using PACIC+ Questionnaire: A Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2023Article
- Patient-reported continuity of care and the association with patient experience of cardiovascular prevention: an observational study in Germany.BMC primary care · 2022Observational
- Improving Management of Non-communicable Chronic Diseases in Primary Healthcare Centres in The Saudi Health Care System.Health services insights · 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
- Assessment of hypertension chronic care model: Pacic application in Bosnia and Herzegovina.PloS one · 2018Article
- Assessing patient-centered care in patients with chronic health conditions attending chiropractic practice: protocol for a mixed-methods study.Chiropractic & manual therapies · 2016Article
- Associations between medical home characteristics and support for patient activation in the safety net: understanding differences by race, ethnicity, and health status.Medical care · 2014Article
- Implementation of chronic illness care in German primary care practices--how do multimorbid older patients view routine care? A cross-sectional study using multilevel hierarchical modeling.BMC health services research · 2014Observational
- Adaptation and validation of the patient assessment of chronic illness care in the French context.BMC health services research · 2014Article
- [Patients' assessment of their chronic illness care].Atencion primariaArticle
- Comparison of Patient and Proxy Assessment of Patient-Centeredness in the Care of Coronary Heart Disease: A Cross Sectional Survey Using the PACIC-S11.1.Journal of primary care & community healthArticle
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care for chronic illness varies across European healthcare systems. In patients suffering from coronary heart disease (CHD), factors associated with patients' experiences of receiving structured chronic care and counselling at the patient and practice level were investigated.
methodsIn an observational study comprising 140 general practices from five European countries (Austria, Germany, the Netherlands, Switzerland and the United Kingdom), 30 patients with Coronary Heart Disease (CHD) per practice were chosen at random to partake in this research. Patients were provided with a questionnaire and the Patient Assessment of Chronic Illness Care (PACIC-5A) - instrument. Practice characteristics were assessed through a practice questionnaire and face to face interviews. Data were aggregated to obtain two practice scores representing quality management and CHD care, respectively. A hierarchical multilevel analysis was performed to examine the impact of patient and practice characteristics on PACIC scores.
resultsThe final sample included 1745 CHD-patients from 131 general practices with a mean age of 67.8 (SD 9.9) years. The overall PACIC score was 2.84 (95%CI: 2.79; 2.89) and the 5A score reflecting structured lifestyle counselling was 2.75 (95% CI: 2.69; 2.79). At the patient level, male gender, more frequent practice contact and fewer related or unrelated conditions were associated with higher PACIC scores. At the practice level, performance scores reflecting quality management (p = 0.013) and CHD care (p = 0.009) were associated with improved assessment of the structured chronic care and counselling received.
conclusionsPatients' perceived quality of care varies. However, good practice management and organisation of care were positively reflected in patients' assessments of receiving structured chronic illness care. This highlights the importance of integrating patient experiences into quality measurements to provide feedback to health care professionals.
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