ArticleBMJ open2025
Understanding patients' perceptions of chronic illness care, self-management support needs and their relationship with telehealth preferences: a cross-sectional study in Vietnamese primary care.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Patient-Perceived Chronic Illness Care and Its Association with Health-Related Quality of Life Among Community-Dwelling Older Adults with Multimorbidity.Healthcare (Basel, Switzerland) · 2026Article
- The 5-C model of digital health accompaniment: empowering women through a gestational diabetes self-care intervention in Vietnam.Frontiers in clinical diabetes and healthcare · 2026Article
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Authors and funding
11 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesChronic diseases pose significant challenges to primary care, requiring patient-centred strategies to improve chronic care delivery. As telehealth emerges as a promising tool, this study aims to examine patient experiences with chronic care and their preferences for self-management support (SMS) through telehealth services in primary care settings.
designA multicentre, cross-sectional survey was conducted (June-August 2022) using the Patient Assessment of Chronic Illness Care (PACIC), the Patient Assessment of Self-Management Tasks (PAST) and a telehealth preferences questionnaire. Linear regression assessed the association between PACIC and PAST scores. Multivariate logistic regression identified factors associated with telehealth preferences, with variables selected according to Andersen's model of healthcare utilisation. SETTINGS: Five diverse primary care settings in Central Vietnam, operating under Family Medicine principles.
participants290 individuals with hypertension and/or diabetes managed at primary care for at least 6 months.
resultsThe average PACIC score was 2.52 (SD 0.7); 25.5% rated their care as high quality (PACIC score ≥3). Among PACIC domains, goal-setting and follow-up/coordination domains received the lowest ratings. Participants perceived lifestyle changes as their priority self-management tasks, followed by medical management, communication with providers and coping with disease consequences. Higher PACIC scores were significantly associated with greater engagement across most PAST domains. Live video conferencing and mobile health were the most preferred formats for SMS. Participants strongly preferred remote patient monitoring for medical management (OR 8.8, 95% CI 2.0 to 38.1). Rural residents were more likely to prefer other telehealth modalities (ORs 3.8-4.6), particularly for coping with disease consequences (OR 4.1, 95% CI 1.8 to 9.4) and lifestyle changes (OR 5.8, 95% CI 1.1 to 28.9). Telehealth preferences were associated with factors across Andersen's domains, including education (predisposing), resident area and digital access (enabling), and pill count, disease control, and perceived care quality (need-related).
conclusionsMost elements of the chronic care model remained unmet. Patients' care experiences and self-management priorities aligned with their telehealth preferences, underscoring the need for personalised telehealth strategies to enhance SMS in primary care. Given the cross-sectional design and absence of patient and public involvement, further studies should incorporate these stakeholders and confirm associations in more diverse and underserved populations.
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