ArticleBMJ open2014
A longitudinal study to identify the influence of quality of chronic care delivery on productive interactions between patients and (teams of) healthcare professionals within disease management programmes.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Are there socioeconomic inequalities in polypharmacy among older people? A systematic review and meta-analysis.BMC geriatrics · 2023Pooled it
- Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis.BMC geriatrics · 2018Pooled it
- Patient cardiovascular risk self-management: results from a randomized trial of motivational interviewing delivered by practice nurses.Family practice · 2019Trial
- Key components of chronic care management programs: qualitative descriptions of care managers' practice.BMC health services research · 2025Article
- Quality of care of patients with type 2 diabetes mellitus at a public sector district hospital.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Article
- A cross-sectional study investigating the relationships between self-management abilities, productive patient-professional interactions, and well-being of community-dwelling frail older people.European journal of ageing · 2021Article
- Relational interventions for organizational learning: An experience report.Learning health systems · 2021Article
- A Real-World Single-Centre Study of Patients with Diabetic Macular Oedema Who Wore a Home-Use Sleep Mask (Noctura 400) for One Year.Journal of ophthalmology · 2021Article
- The role of collective efficacy in long-term condition management: A metasynthesis.Health & social care in the community · 2019Review
- Quality of primary care delivery and productive interactions among community-living frail older persons and their general practitioners and practice nurses.BMC health services research · 2019Article
- Validation of an instrument for the assessment of patient-centred care among patients with multimorbidity in the primary care setting: the 36-item patient-centred primary care instrument.BMC family practice · 2018Article
- The role of patient and healthcare professionals in the era of new hemophilia treatments in developed and developing countries.Therapeutic advances in hematology · 2018Review
- What impact does written information about fatigue have on patients with autoimmune rheumatic diseases? Findings from a qualitative study.Musculoskeletal care · 2017Article
- 'It just has to click': Internists' views of: what constitutes productive interactions with chronically ill patients.BMC health services research · 2016Article
- A qualitative study of patients' perspectives on collaboration to support self-management in routine rheumatology consultations.BMC musculoskeletal disorders · 2016Article
- Improving Interprofessional and Coproductive Outcomes of Care for Patients with Chronic Obstructive Pulmonary Disease.BMJ quality improvement reports · 2016Article
- 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
- 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
- Better together: a community- hospital integrative model of healthcare as a practical solution for providing excellence in endocrinology care in an era of limited resources.Israel journal of health policy research · 2015Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe chronic care model is an increasingly used approach to improve the quality of care through system changes in care delivery. While theoretically these system changes are expected to increase productive patient-professional interaction empirical evidence is lacking. This study aims to identify the influence of quality of care on productive patient-professional interaction.
settingLongitudinal study in 18 Dutch regions.
participantsQuestionnaires were sent to all 5076 patients participating in 18 Disease Management Programmes (DMPs) in 2010 (2676 (53%) respondents). One year later (T1), 4693 patients still participating in the DMPs received a questionnaire (2191 (47%) respondents) and 2 years later (in 2012; T2) 1722 patients responded (out of 4350; 40% response).
interventionsDMPs PRIMARY OUTCOME MEASURE: Patients' perceptions of the productivity of interactions (measured as relational coordination/coproduction of care) with professionals. Patients were asked about communication dimensions (frequent, accurate, and problem-solving communication) and relationship dimensions (shared goals and mutual respect).
findingsAfter controlling for background characteristics these results clearly show that quality of chronic care (T0), first-year changes in quality of chronic care (T1-T0) and second-year changes in quality of chronic care (T2-T1) predicted productive interactions between patients and professionals at T2 (all at p≤0.001). Furthermore, we found a negative relationship between lower educational level and productive interactions between patients and professionals 2 years later.
conclusionsWe can conclude that successfully dealing with the consequences of chronic illnesses requires proactive patients who are able to make productive decisions together with their healthcare providers. Since patients and professionals share responsibility for management of the chronic illness, they must also share control of interactions and decisions. The importance of patient-centeredness is growing and this study reports a first example of how quality of chronic care stimulates productive interactions between patients and professionals.
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