Seen through the patients' eyes: quality of chronic illness care.

Abstract:

Background:Most well-developed healthcare systems are facing the challenge of managing the increasing prevalence of patients with chronic diseases. Comprehensive frameworks, such as the chronic care model (CCM), receive widespread acceptance for improving care processes, clinical outcomes and costs. Objective:The purpose of this study was to explore chronic patients' perceptions of the quality of chronic care and the alignment with the CCM. Since previous research indicated that a patient's assessment may depend on socio-demographic or disease-related characteristics, the relationship between the mean Patient Assessment of Chronic Illness Care (PACIC) score and possible aforementioned predictors was also explored. Methods:An observational, cross-sectional study design was applied, and participants were recruited from the Flemish Patients' Platform (Belgium). An online questionnaire was designed to assess chronic patients' socio-demographic characteristics, medical consumption, quality of life (EuroQol-5D survey) and the perspective of chronic illness care PACIC survey. Results:The mean overall PACIC score was 2.87 on a maximum score of 5. The highest mean score for the PACIC subscales was found for 'patient activation' (3.26), followed by 'delivery system design/decision support' (3.23), 'problem solving/contextual counselling' (2.86), 'goal setting/tailoring' (2.70) and 'follow-up/coordination' (2.59). Quality of life, as measured by the EuroQol Visual Analogue Scale, had a significantly positive correlation with the mean PACIC score (P = 0.005). Conclusion:The CCM is considered an important step towards improved care for patients with chronic diseases. However, the findings of this study showed that elements from the CCM have not yet been fully implemented. Aspects such as dealing with problems which interfered with achieving predefined goals, helping patients to set specific goals for their care delivery and arranging follow-ups are less common in today's care of chronic diseases.

journal_name

Fam Pract

journal_title

Family practice

authors

Desmedt M,Vertriest S,Petrovic M,Bergs J,Vrijhoef H,Dessers E,Hellings J,Vandijck D

doi

10.1093/fampra/cmx123

subject

Has Abstract

pub_date

2018-07-23 00:00:00

pages

446-451

issue

4

eissn

0263-2136

issn

1460-2229

pii

4718591

journal_volume

35

pub_type

杂志文章
  • Consulting room computers and their effect on general practitioner-patient communication.

    abstract:BACKGROUND:in the western medical world, computers form part of the standard equipment in the consulting rooms of most GPs. As the use of a computer requires time and attention from GPs, this may well interfere with the communication process. Yet, the information accessed on the computer may also enhance communication....

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmq058

    authors: Noordman J,Verhaak P,van Beljouw I,van Dulmen S

    更新日期:2010-12-01 00:00:00

  • Perspectives of family medicine in Central and Eastern Europe.

    abstract:INTRODUCTION:In the last decade of the 20th century, the countries of Central and Eastern Europe (CEE) have experienced rapid changes in health policies. This process was largely supported by international grants. After this support has ended, it is important to keep up with the development, developing its own strategi...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmn009

    authors: Seifert B,Svab I,Madis T,Kersnik J,Windak A,Steflova A,Byma S

    更新日期:2008-04-01 00:00:00

  • A short report: survey of practice nurses' attitudes towards giving smoking cessation advice.

    abstract:BACKGROUND:Although practice nurses play an important role in implementing smoking cessation strategies in primary care, relatively little is known of their attitudes and beliefs about giving smoking cessation advice. OBJECTIVES:To describe practice nurses' attitudes towards giving smoking cessation advice. METHODS:1...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmi082

    authors: Hall S,Vogt F,Marteau TM

    更新日期:2005-12-01 00:00:00

  • Medical engagement and organizational characteristics in general practice.

    abstract:BACKGROUND:Medical engagement is a mutual concept of the active and positive contribution of doctors to maintaining and enhancing the performance of their health care organization, which itself recognizes this commitment in supporting and encouraging high quality care. A Medical Engagement Scale (MES) was developed by ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmv085

    authors: Ahnfeldt-Mollerup P,dePont Christensen R,Halling A,Kristensen T,Lykkegaard J,Nexøe J,Barwell F,Spurgeon P,Søndergaard J

    更新日期:2016-02-01 00:00:00

  • Availability and acceptance of health education among socially 'at risk' pregnant women attending health centres in Belfast.

    abstract::This study highlights the large number of pregnant women in Belfast who fall into the 'at risk' category based on socioeconomic factors and suggests a need for greater emphasis on health education by professionals in both the fields of health and education in order to improve the knowledge and change the attitudes and...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/3.2.85

    authors: McKnight A,Merrett JD

    更新日期:1986-06-01 00:00:00

  • An overview of training curricula for diabetes peer educators.

    abstract::Global community members who experience similar health problems gravitate to each other for information and support. Peers may be more approachable and can relate to the particular living circumstances one experiences. In well-resourced countries, people have opportunities for learning diabetes self-management; howeve...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmn102

    authors: Nettles A,Belton A

    更新日期:2010-06-01 00:00:00

  • Maintained effect of a training program on attitudes towards depression in family physicians.

    abstract:Background:Family doctors' (FD) attitudes likely play an important role in the recognition and management of depression. Objective:The purpose of the study was to prospectively analyse the short-term and long-term impact of a specifically designed training program on attitudes towards depression among FDs. Methods:A ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmx071

    authors: Manzanera R,Lahera G,Álvarez-Mon MÁ,Alvarez-Mon M

    更新日期:2018-01-16 00:00:00

  • Diagnosing acute coronary syndrome in primary care: comparison of the physicians' risk estimation and a clinical decision rule.

    abstract:BACKGROUND:Diagnosing acute coronary syndrome (ACS) in a primary care setting poses a diagnostic dilemma for physicians. OBJECTIVE:We directly compared the diagnostic accuracy of a clinical decision rule (CDR) based on history taking and physical examination in suspected ACS with the risk estimates of the attending GP...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/cmq116

    authors: Bruins Slot MH,Rutten FH,van der Heijden GJ,Geersing GJ,Glatz JF,Hoes AW

    更新日期:2011-06-01 00:00:00

  • Long-term prognosis of acute otitis media in infancy: determinants of recurrent acute otitis media and persistent middle ear effusion.

    abstract:OBJECTIVES:Children under 2 years of age with acute otitis media are known to have a relatively poor prognosis. The objective of this study was to assess whether known determinants for recurrent acute otitis media and persistent middle ear effusion after an episode of acute otitis media during childhood also apply to c...

    journal_title:Family practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/fampra/cmi083

    authors: Damoiseaux RA,Rovers MM,Van Balen FA,Hoes AW,de Melker RA

    更新日期:2006-02-01 00:00:00

  • Perceptions of patient expectation for an antibiotic: a comparison of walk-in centre nurses and GPs.

    abstract:BACKGROUND:Patient expectation for a prescription is a recognized influence on GPs' prescribing, particularly in relation to the prescribing of antibiotics. Nurses are now able to supply antibiotics under a Patient Group Direction (PGD) in NHS walk-in centres and may experience similar pressures in this new role. OBJE...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmh504

    authors: Weiss MC,Deave T,Peters TJ,Salisbury C

    更新日期:2004-10-01 00:00:00

  • Satisfaction and job stress in general practice.

    abstract::This paper investigates sources of job satisfaction and dissatisfaction in general practice and identifies pressures and difficulties experienced by general practitioners in their work. The study revealed widespread job satisfaction based on three separate (but independent) aspects of general practice: clinical, psych...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/5.2.83

    authors: Branthwaite A,Ross A

    更新日期:1988-06-01 00:00:00

  • A randomized controlled trial of direct access for laparoscopic sterilization.

    abstract:OBJECTIVES:The aim of this study was to establish and evaluate a direct access service for laparoscopic sterilization. METHODS:A pragmatic randomized controlled trial was carried out on a total of 232 women referred to Aberdeen Royal Infirmary for sterilization between 1 June 1996 and 31 March 1997, from 57 general pr...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/fampra/18.1.1

    authors: McKessock L,Smith BH,Scott A,Graham W,Terry PB,Templeton A,Fitzmaurice AE

    更新日期:2001-02-01 00:00:00

  • What can doctors do to achieve a successful consultation? Videotaped interviews analysed by the 'consultation map' method.

    abstract::Positive consultations, where both the GP and the patient had a positive impression, were compared with negative consultations, where both the GP and the patient had a negative impression. The consultations were compared with respect to tasks listed by Pendelton et al. in their 'consultation map', constituting satisfy...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/9.1.61

    authors: Arborelius E,Bremberg S

    更新日期:1992-03-01 00:00:00

  • Evaluating the evidence for the implementation of C-reactive protein measurement in adult patients with suspected lower respiratory tract infection in primary care: a systematic review.

    abstract:BACKGROUND:Excessive prescription of antibiotics in patients with lower respiratory tract infection (LRTI) is common in primary care and might be reduced by rapid point-of-care (POC) C-reactive protein (CRP) testing. However, the exact benefits of this test are unclear. OBJECTIVE:To review the available evidence for t...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/cmr119

    authors: Engel MF,Paling FP,Hoepelman AI,van der Meer V,Oosterheert JJ

    更新日期:2012-08-01 00:00:00

  • Efficacy of a district nurse programme in the follow-up of hypertensives.

    abstract::A two-year single-group study in primary health care of 223 hypertensive patients with blood pressure under satisfactory control was performed. The study investigated whether the patients could be referred to district nurses for follow-up, between visits to district physicians, without risking loss of control over the...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/1.3.173

    authors: Lindholm L

    更新日期:1984-09-01 00:00:00

  • The effect of introduction of a guideline on the management of vaginal discharge and in particular bacterial vaginosis in primary care.

    abstract:BACKGROUND:Bacterial vaginosis (BV) is the commonest cause of vaginal discharge, and its association with obstetric and gynaecological complications is being recognized increasingly. It was our impression that BV was poorly understood and underdiagnosed in family practice. OBJECTIVE:The aim of this study was to explor...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/18.3.253

    authors: Langsford MJ,Dobbs FF,Morrison GM,Dance DA

    更新日期:2001-06-01 00:00:00

  • Advance care planning in primary care, only for severely ill patients? A structured review.

    abstract:BACKGROUND:Increasing medical possibilities, ageing of the population and the growing number of people with chronic illness appears to make advance care planning (ACP) inevitable. However, to what extent and how primary care providers (PCPs) provide ACP in daily practice is largely unknown. OBJECTIVE:To provide an ove...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/cmu074

    authors: Glaudemans JJ,Moll van Charante EP,Willems DL

    更新日期:2015-02-01 00:00:00

  • Health problems in people with intellectual disability in general practice: a comparative study.

    abstract::In a GP database, 318 people with intellectual disability (ID) appeared to have 2.5 times more health problems than people without ID. This short report deals with the nature of the health problems. Consequences for health care policy are discussed. ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/17.5.405

    authors: van Schrojenstein Lantman-De Valk HM,Metsemakers JF,Haveman MJ,Crebolder HF

    更新日期:2000-10-01 00:00:00

  • Diagnostic performance of retinal digital photography for diabetic retinopathy screening in primary care.

    abstract:Introduction:We must study alternatives to structure an effective diabetic retinopathy screening program for Brazilian public health system. Objectives:Evaluate the diagnostic performance of retinal digital photography for diabetic retinopathy screening in primary care, accuracy of the family physician in diabetic ret...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmx020

    authors: Rosses APO,Ben ÂJ,Souza CF,Skortika A,Araújo AL,Carvalho G,Locatelli F,Neumann CR

    更新日期:2017-09-01 00:00:00

  • Use of rules of thumb in the consultation in general practice--an act of balance between the individual and the general perspective.

    abstract:BACKGROUND:Rules of thumb used by GPs could be considered as empirical evidence of intuition and a link between science and practice in general practice. OBJECTIVE:The purpose of the present study was to analyse the description of the application of rules of thumb with regard to different situations in general practic...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmg503

    authors: André M,Borgquist L,Mölstad S

    更新日期:2003-10-01 00:00:00

  • South Asian patients' views and experiences of clinical trial participation.

    abstract:OBJECTIVES:This paper explores South Asian patients' views and experiences of clinical trial participation, as part of a larger study which sought to assess British South Asian under-representation in clinical trials. METHODS:The study was based on semi-structured interviews with South Asian trial participants in prim...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmh611

    authors: Hussain-Gambles M

    更新日期:2004-12-01 00:00:00

  • The use of classification and regression trees to predict the likelihood of seasonal influenza.

    abstract:BACKGROUND:Individual signs and symptoms are of limited value for the diagnosis of influenza. OBJECTIVE:To develop a decision tree for the diagnosis of influenza based on a classification and regression tree (CART) analysis. METHODS:Data from two previous similar cohort studies were assembled into a single dataset. T...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cms020

    authors: Afonso AM,Ebell MH,Gonzales R,Stein J,Genton B,Senn N

    更新日期:2012-12-01 00:00:00

  • Acceptability of a guided self-help mental health intervention in general practice.

    abstract:BACKGROUND:People with subthreshold mental health syndromes are common in general practice and represent an important morbidity and disability burden. Management options are currently limited. We examined the acceptability of a novel ultra-brief guided self-help intervention designed specifically for use in this settin...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmr066

    authors: Collings S,Mathieson F,Dowell A,Stanley J,Jenkin G,Goodyear-Smith F,Hatcher S

    更新日期:2012-02-01 00:00:00

  • Association between unexplained hypoalbuminaemia and new cancer diagnoses in UK primary care patients.

    abstract:BACKGROUND:The association between hypoalbuminaemia and a new diagnosis of cancer is as yet unknown. OBJECTIVE:This study aimed to assess whether unexplained hypoalbuminaemia was associated with an increased risk of subsequent new cancer diagnosis within the next 12 months. METHODS:A cohort study was performed using ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmw051

    authors: Merriel SW,Carroll R,Hamilton F,Hamilton W

    更新日期:2016-10-01 00:00:00

  • A local consensus process making use of focus groups to enhance the implementation of a national integrated health care standard on obesity care.

    abstract:BACKGROUND:Recent guidelines on obesity management promote integrated care. There is little knowledge about local opportunities and barriers, faced by health care professionals and patients, that affect implementation of an integrated national health care standard in a local setting. Our aim is to understand experience...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmr072

    authors: Derksen RE,Brink-Melis WJ,Westerman MJ,Dam JJ,Seidell JC,Visscher TL

    更新日期:2012-04-01 00:00:00

  • Paired interviews of shared experiences around chronic low back pain: classic mismatch between patients and their doctors.

    abstract:BACKGROUND:current treatments for chronic low back pain (LBP) appear to be inadequate and there are growing calls for new approaches. This study explores the paired interviews of shared experiences among chronic LBP patients and their physicians with the ultimate goal of improving doctor-patient communication and clini...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmq063

    authors: Allegretti A,Borkan J,Reis S,Griffiths F

    更新日期:2010-12-01 00:00:00

  • The search for person-related information in general practice: a qualitative study.

    abstract:BACKGROUND:General practice is person-focused. Contextual information influences the clinical decision-making process in primary care. Currently, person-related information (PeRI) is neither recorded in a systematic way nor coded in the electronic medical record (EMR), and therefore not usable for scientific use. AIM:...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmv099

    authors: Schrans D,Avonts D,Christiaens T,Willems S,de Smet K,van Boven K,Boeckxstaens P,Kühlein T

    更新日期:2016-02-01 00:00:00

  • The 'difficult patient' as perceived by family physicians.

    abstract:OBJECTIVES:The aim of this study is to understand in depth the experience of the family physician faced with the patient that he perceives as 'difficult'. This was done by means of the 'long interview' as a method of qualitative research. METHOD:We interviewed 15 randomly selected Board-certified family physicians, wi...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/18.5.495

    authors: Steinmetz D,Tabenkin H

    更新日期:2001-10-01 00:00:00

  • A new method for describing smokers' consulting behaviours which indicate their motivation to stop smoking: an exploration of validity and reliability.

    abstract:BACKGROUND:Smokers vary in their readiness to try stopping smoking, but there currently are no objective tools for identifying smokers' consulting behaviours which indicate their level of motivation to try stopping smoking. OBJECTIVE:The aim of this study was to investigate the construct validity and inter-observer re...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/19.2.154

    authors: Coleman T,Stevenson K,Wilson A

    更新日期:2002-04-01 00:00:00

  • Fatigue of unknown aetiology--a review.

    abstract::The patient complaining of fatigue presents the physician with the dilemma of distinguishing a psychological disorder from a physical illness in its early stage. Information relating this nonspecific complaint to specific diagnoses is scarce. Consequently, laboratory investigation of fatigue has been empirical. Five s...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/2.1.48

    authors: Valdini AF

    更新日期:1985-03-01 00:00:00