Objective:to evaluate the quality of care provided to older people with diabetes mellitus
and/or hypertension in the Primary Health Care (PHC) according to the Chronic Care
Model (CCM) and identify associations with care outcomes. Method:cross-sectional study involving 105 older people with diabetes mellitus and/or
hypertension. The Patient Assessment of Chronic Illness Care (PACIC) questionnaire
was used to evaluate the quality of care. The total score was compared with care
outcomes that included biochemical parameters, body mass index, pressure levels
and quality of life. Data analysis was based on descriptive statistics and
multiple logistic regression. Results:there was a predominance of females and a median age of 72 years. The median PACIC
score was 1.55 (IQ 1.30-2.20). Among the PACIC dimensions, the “delivery system
design/decision support” was the one that presented the best result. There was no
statistical difference between the medians of the overall PACIC score and
individual care outcomes. However, when the quality of life and health
satisfaction were simultaneously evaluated, a statistical difference between the
medians was observed. Conclusion:the low PACIC scores found indicate that chronic care according to the CCM in the
PHC seems still to fall short of its assumptions.
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