Evidence map›Paper›PMID 27136650›Full record

ArticleMilitary medicine2016

Perceptions of Chronic Illness Care Among Veterans With Multiple Chronic Conditions.

Salva N Balbale, Bella Etingen, Alex Malhiot, Scott Miskevics, Sherri L LaVela

Open access · bronzeAbstract read
In one paragraph

Article in Military medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
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

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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Perceptions of Hospital Care Quality According to People Living With Multiple Long-Term Conditions: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  3. Article
  4. Type 2 diabetes: patient assessment of chronic illness care.Journal of diabetes and metabolic disorders · 2021
    Article
  5. Article
  6. Article
  7. Variation in coordination of care reported by breast cancer patients according to health literacy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  8. Article
  9. 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

5 authors at 2 institutions in 1 country.

Salva N BalbaleCenter for Evaluation of Practices and Experiences of Patient-Centered Care, Department of Veterans Affairs, 5000 South 5th Avenue (151H), Hines, IL 60141.
Bella EtingenCenter for Evaluation of Practices and Experiences of Patient-Centered Care, Department of Veterans Affairs, 5000 South 5th Avenue (151H), Hines, IL 60141.
Alex MalhiotCenter for Evaluation of Practices and Experiences of Patient-Centered Care, Department of Veterans Affairs, 5000 South 5th Avenue (151H), Hines, IL 60141.
Scott MiskevicsCenter for Evaluation of Practices and Experiences of Patient-Centered Care, Department of Veterans Affairs, 5000 South 5th Avenue (151H), Hines, IL 60141.
Sherri L LaVelaCenter for Evaluation of Practices and Experiences of Patient-Centered Care, Department of Veterans Affairs, 5000 South 5th Avenue (151H), Hines, IL 60141.
Edward Hines, Jr. VA Hospital · USNorthwestern University · US

Funding

The University of Chicago and Northwestern University Predoctoral Health Services Research Program-RenewalT32HS000084 · AHRQ · UNIVERSITY OF CHICAGO · PI KONETZKA, RITA TAMARA, MELTZER, DAVID O · 1998 to 2024
$7.6M
AHRQ HHS T32 HS000084
6 · The paper itself

Abstract

objectivesGiven the burden of multiple chronic conditions (MCCs) in the Veterans Affairs (VA) Health Care System, understanding perspectives of Veterans with MCC is essential to evaluate chronic care and ensure that care and quality improvement efforts align with patient needs. The purpose of this study was to use the Patient Assessment of Chronic Illness Care (PACIC) instrument to examine perceptions of chronic care among Veterans with MCC.

methodsWe conducted a nation-wide, cross-sectional mailed survey. Study inclusion criteria were Veteran patients with MCC who receive care from eight VA facilities. The survey included questions on patient demographics, recent hospital or doctor visits, and the PACIC instrument. Chronic condition and health care utilization data were extracted from VA administrative databases.

resultsThe sample (n = 3,519) was mostly male; average age was 68.1 years. Mean PACIC summary score was 3.05 (standard deviation [SD] = 1.12). Respondents achieved higher scores (favorable perceptions) in the Delivery System Design and Patient Activation subscales, and lowest scores (unfavorable perceptions) in the Follow-up/Coordination subscale. Characteristics associated with higher scores included non-white race, recent VA doctor visit, and high school or less education.

conclusionsPerceptions of chronic care were high; however, quality improvements are needed to enhance care continuity and coordination.

Indexed as

PerceptionCross-Sectional StudiesDelivery of Health CareFemaleHospitals, VeteransHumansMaleMultiple Chronic ConditionsSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeterans

Identifiers

PMID27136650
PMCPMC4856296
OpenAlexW2346634984

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.