ArticleBMC health services research2012
The chronic care model: congruency and predictors among patients with cardiovascular diseases and chronic obstructive pulmonary disease in the Netherlands.
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 21 papers.
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Who cites it
21 citing papers in PubMed.
- Patient cardiovascular risk self-management: results from a randomized trial of motivational interviewing delivered by practice nurses.Family practice · 2019Trial
- Patient-experienced effect of an active implementation of a disease management programme for COPD - a randomised trial.BMC family practice · 2013Trial
- Patient Assessment of Care with Chronic Cardiovascular Disorders and Its Relationship with Self-Efficacy: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2023Article
- Experiences with cross-sectional healthcare and treatment in heart failure patients: implications for medical education.International journal of medical education · 2022Article
- Improving Management of Non-communicable Chronic Diseases in Primary Healthcare Centres in The Saudi Health Care System.Health services insights · 2022Article
- Article
- Chronic-Care-Management Programs for Multimorbid Patients with Diabetes in Europe: A Scoping Review with the Aim to Identify the Best Practice.Journal of diabetes research · 2021Article
- Reliability and validity of the Greek translation of the patient assessment of chronic illness care + (PACIC-PLUS GR) survey.BMC family practice · 2020Article
- Diabetic patient assessment of chronic illness care using PACIC.BMC health services research · 2020Article
- Validation of the patient assessment of chronic illness care (PACIC) short form scale in heart transplant recipients: the international cross-sectional bright study.BMC health services research · 2020Article
- Article
- Toward Integration of mHealth in Primary Care in the Netherlands: A Qualitative Analysis of Stakeholder Perspectives.Frontiers in public health · 2019Article
- Rheumatic heart disease: infectious disease origin, chronic care approach.BMC health services research · 2017Review
- Article
- Chronically ill patients' self-management abilities to maintain overall well-being: what is needed to take the next step in the primary care setting?BMC family practice · 2015Article
- 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
- 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
- Exploring the impact of pharmacist comprehensive annual care plans on perceived quality of chronic illness care by patients in Alberta, Canada.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
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Authors and funding
2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Chronic Care Model (CCM) achieved widespread acceptance and reflects the core elements of patient-centred care in chronic diseases such as CVD and COPD. Our aim is to assess the extent to which current care for CVD and COPD patients aligns with the CCM in Dutch healthcare practices in the early stages of implementing disease-management programmes, thereby revealing possible predictors that tell us whether certain patients are more likely to receive CCM-compliant care than others.
methodsWe use a cross-sectional study, addressing CVD or COPD patients from 106 primary care practices in the Netherlands. Our response rate was 53%; i.e., 2,487 of 4,681 questionnaires were returned. The Patient Assessment of Chronic Illness Care (PACIC) was used to assess compliance with CCM. Quality of life was assessed with the Short-Form 36 Health Survey (SF-36) and we used the Hospital Anxiety and Depression Scale (HADS) to assess depressive symptoms. Multilevel regression models were performed to reveal predictors of high CCM compliance.
resultsWith a mean (SD) of 2.77 (0.86) in CVD patients and 2.89 (0.89) in COPD patients (p = 0.002), the PACIC sum score was lower than in previous studies conducted in HMOs in the US, but similar to a European primary care setting study. The PACIC score was associated with age and depressive symptoms in both patient groups.
conclusionsYounger and less depressed patients report higher PACIC scores, indicating that their care better aligns to the CCM.
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