Evaluation of the Chronic Illness Care From the Patients’ Perspective
Objectives: Chronic diseases are the major challenge for primary health care. Evaluation of the chronic diseases from patients’ perception is fundamental for Chronic Care Models. The aim of this study is to evaluate chronic illness care of the patients from their perspective.
Method: A descriptive study was conducted with patients aged 20-80 years and who have chronic illness (HT, DM, cardiovascular or thyroid diseases, osteoarthritis/rheumatoid arthritis, COPD/asthma). The patients were selected by the method nonprobability sampling, sociodemographic features, last physical examination time, reasons for the last visit, frequency of doctor visits, number of the different health care centers visited in the last year were questioned and PACIC instrument were applied with a face to face interview. PACIC instrument assesses the patient’s perspective on receipt of clinical services and consist of 20 items and 5 subscales (patient activation, delivery system design, goal setting, problem solving, and follow-up/coordination). Each item can be scored on a five-point Likert scale ranging from 1 (‘almost never’) to 5 (‘almost always’). The patients who filled the all items were involved for the assessment.
Results: One hundred and twenty six participants completed the PACIC. Mean age was 52±12.69, mean PACIC score was 2.44±0.74. Increased age, male sex, high education status, frequency of doctor visits, number of the different health center and close visiting time were not associated with significantly higher PACIC. Compared to other chronic diseases, diabetes status of the patients was significantly associated with high PACIC scores (p=0.015).
Conclusion: The patients with diabetes have increased perception of care than the other chronic diseases in our outpatient clinic. Although completion of the scale due to low education level has been limited, PACIC can be used for evaluation of the perspective of the patients.
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