The potential for integrated care programmes to improve quality of care as assessed by patients with COPD: early results from a real-world implementation study in The Netherlands

Objective: We investigated whether patients with chronic obstructive pulmonary disease (COPD) who were enrolled in disease-management programmes (DMPs) felt that they received a better quality of care than non-enrolled COPD patients. Methods: Our cross-sectional study was performed among patients ( n = 665) enrolled in four DMPs in The Netherlands. We also evaluated COPD patients ( n = 227) not enrolled in such programmes. Patients' assessment of chronic-illness care (PACIC) was measured with a 20-item questionnaire. The instrument had five pre-defined domains: patient activation (three items)... Mehr ...

Verfasser: Jane Murray Cramm
Maureen PMH Rutten-Van Mölken
Anna Petra Nieboer
Dokumenttyp: Artikel
Erscheinungsdatum: 2012
Reihe/Periodikum: International Journal of Integrated Care, Vol 12, Iss 5 (2012)
Verlag/Hrsg.: Ubiquity Press
Schlagwörter: chronic care / integrated care / disease management / COPD / chronic care model / Medicine (General) / R5-920
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26804292
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doaj.org/article/e16b40de469541689f0181babe1169f4

Objective: We investigated whether patients with chronic obstructive pulmonary disease (COPD) who were enrolled in disease-management programmes (DMPs) felt that they received a better quality of care than non-enrolled COPD patients. Methods: Our cross-sectional study was performed among patients ( n = 665) enrolled in four DMPs in The Netherlands. We also evaluated COPD patients ( n = 227) not enrolled in such programmes. Patients' assessment of chronic-illness care (PACIC) was measured with a 20-item questionnaire. The instrument had five pre-defined domains: patient activation (three items), delivery-system/practice design (three items), goal setting/tailoring (five items), problem solving/contextual (four items), and follow-up/coordination (five items). Results: The mean overall PACIC score (scale: 1-5) of enrolled DMP patients was 2.94, and that of non-enrolled DMP patients was 2.73 ( p ≤ 0.01). Differences in the same direction were found in the subscales of patient activation ( p ≤ 0.01), delivery-system/practice design ( p ≤ 0.001), and problem solving/contextual ( p ≤ 0.001). Conclusions: Our results suggest that even in the early stages of implementation, DMPs for COPD may significantly improve care.