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 ...
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Dokumenttyp: | Artikel |
Erscheinungsdatum: | 2012 |
Reihe/Periodikum: | International Journal of Integrated Care, Vol 12, Iss 5 (2012) |
Verlag/Hrsg.: |
Ubiquity Press
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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-29173447 |
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.