Patient-Assessed Chronic Illness Care (PACIC) scenario in an Indian homeopathic hospital

Koley, Munmun; Saha, Subhranil; Ghosh, Shubhamoy; Nag, Goutam; Kundu, Monojit; Mondal, Ramkumar; Purkait, Rajib; Patra, Supratim; Ali, Seikh Swaif

doi:10.1016/j.jtcme.2014.11.020

Cited by 11 publications

(7 citation statements)

References 17 publications

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“…It is contrary to the original validation study scores that were positively associated with gender and the number of chronic diseases [ 23 ]. Findings of the study in India showed that PACIC 20 was slightly correlated with age, gender and chronic diseases [ 30 ]. A Swiss study showed the significant correlation between the French version of the PACIC and age [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of hypertension chronic care model: Pacic application in Bosnia and Herzegovina

et al. 2018

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The objectives of this study were to evaluate patients’ attitudes towards hypertension treatment according to the chronic care model and to assess the implementation of hypertension clinical guidelines in family medicine. The cross-sectional study was carried out in two randomly selected primary health care centers (Bijeljina and Prijedor), respectively in Bosnia and Herzegovina, covering the period between March and April 2016. This study sample consists of 791 respondents with hypertension purposing to measure specific actions and quality of care for hypertensive patients. The Patient Assessment of Chronic Illness Care (PACIC) was used. Treatment for the indicators of hypertension was assessed by analyzing patients' medical charts according to the recommendations of clinical guidelines. More than half of the evaluated indicators of treatment for hypertension were documented in medical charts of 84.07% patients. The average overall PACIC score was 4.18 (SD 0.59), being an average of the separate scores of 4.19 (SD 0.57) in men and 4.17 (SD 0.60) in women. Subscale means of PACIC were as follows: patient activation 4.33, delivery system design 4.36; goal setting 4.03; problem solving 4.51; follow-up and co-ordination 3.67. No statistically significant correlations in the overall score and subscale scores were found by demographic characteristics. Non-smokers had a significantly higher overall score compared to smokers (p = 0.001). As implementation of the guidelines became stronger, the reported PACIC scores rose. Continuing the education of patients in order to achieve better health care outcomes is imperative.

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Section: Discussionmentioning

confidence: 99%

Assessment of hypertension chronic care model: Pacic application in Bosnia and Herzegovina

et al. 2018

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“…Its test–retest reliability (0.58), internal consistency (0.93) and convergent validity (0.42–0.60) have been demonstrated in varied chronic condition patient populations including hypertension, depression, diabetes, asthma, and chronic pain 49,50,52. Only one study reported a responsiveness of 1.11 (standardized response mean) 53. The PACIC is scored by averaging scores across all 20 items 52.…”

Section: Methodsmentioning

confidence: 99%

<p>Determinants Of Patient Experience With Low Back Pain Interdisciplinary Care: A Pre-Post Interventional Study</p>

Gogovor

Visca

Ware

et al. 2019

JPR

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Background and purposeMeasuring patients’ experiences of health services has become an essential part of quality of care reporting and a means for identifying opportunities for improvement. This study aimed to evaluate change in patient experience in an interdisciplinary primary care program and to estimate the impact on patient experience of sociodemographic, function, pain and general health status, resource utilization, and process variables.Patients and methodsA 6-month interdisciplinary care program for individuals with low back pain (LBP) was implemented at four primary care settings and evaluated using an observational pre/post study design. The change in patient experience was evaluated using the Patient Assessment of Chronic Illness Care questionnaire (PACIC) completed at baseline and 6 months post-intervention (n=132). Descriptive and multivariable analyses were performed using SAS version 9.3.ResultsThe average patient age was 57 (SD: 14) years of age and the majority were female (53%). The mean overall PACIC score was 2.6 (SD: 1.1) at baseline and 3.6 (SD: 0.9) at 6 months. The experience of care improved for 62% of the participants based on the minimal clinically important difference (MCID). No significant determinants of overall PACIC change score were identified in the multivariable regression models.ConclusionThe lack of association of hypothesized determinants requires further examination of the properties of the PACIC and with a larger sample. Future investigation is needed on the relationship between improved patient experience and outcomes.

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“…In order to maintain the functionality of the elderly, it is essential to optimize the management of chronic conditions. This requires multidimensional strategies anchored in the concept of health conditions and with theoretical references related to patient-centered care 4 - 5 , which is not always observed. Studies have shown a persistent care practice aimed at treating the conditions and events resulting from the exacerbation of chronic conditions, in a fragmented, episodic and reactive manner 6 .…”

Section: Introductionmentioning

confidence: 99%

Assessment of the quality of primary care for the elderly according to the Chronic Care Model

Silva

Soares

Silva³

et al. 2018

Rev. Latino-Am. Enfermagem

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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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Patient-Assessed Chronic Illness Care (PACIC) scenario in an Indian homeopathic hospital

Cited by 11 publications

References 17 publications

Assessment of hypertension chronic care model: Pacic application in Bosnia and Herzegovina

Assessment of hypertension chronic care model: Pacic application in Bosnia and Herzegovina

<p>Determinants Of Patient Experience With Low Back Pain Interdisciplinary Care: A Pre-Post Interventional Study</p>

Assessment of the quality of primary care for the elderly according to the Chronic Care Model

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