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July 27, 2012BMC Health Services ResearchOpen Access

Identifying factors associated with experiences of coronary heart disease patients receiving structured chronic care and counselling in European primary care

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Key result

Structured chronic care and counselling in European primary care yielded a mean overall Patient Assessment of Chronic Illness Care score of 2.84 among coronary heart disease patients, with higher scores associated with better practice quality management.

Why the study?

Does practice quality management and CHD care improve patient-reported experiences of structured chronic care and counselling in CHD patients?

Population

1,745 patients with Coronary Heart Disease from 131 general practices across 5 European countries, mean age…

Design

Cross-sectional

Authors

SLSabine LudtHeidelberg UniversityJLJan van LieshoutRadboud University NijmegenSCStephen CampbellWestern Michigan University

Discussion

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Implication

Supports link between practice quality management and patient experiences in CHD; leaves open causality and need for prospective trials.

Study Design

Type

Observational (n=1,745)

Multicenter

Yes

Structured PICO

Does practice quality management and CHD care improve patient-reported experiences of structured chronic care and counselling in CHD patients?

P
Population
1,745 patients with Coronary Heart Disease (CHD) from 131 general practices across 5 European countries, mean age 67.8 years, 31.6% female.
I
Intervention
Structured chronic care and counselling (assessed via PACIC-5A instrument)
O
Outcome
Overall PACIC score (Patient Assessment of Chronic Illness Care)patient reported

Good practice management and organization of care are positively associated with CHD patients' assessments of receiving structured chronic illness care.

Limitations

  • Observational design precludes demonstrating causal relationships between practice characteristics and patients' perceived quality of care.
  • Difficulty enrolling the intended 36 practices per country in Germany, Austria, and Switzerland.
  • Exclusion of countries like France and Slovenia because the PACIC instrument was only validated in three languages, decreasing the number of eligible patients.

Cite This Study

Ludt et al. (2012) conducted an observational in Coronary Heart Disease (n=1,745). Structured chronic care and counselling was evaluated on Overall PACIC score (95% CI 2.79; 2.89). Structured chronic care and counselling in European primary care yielded a mean overall Patient Assessment of Chronic Illness Care score of 2.84 among coronary heart disease patients, with higher scores associated with better practice quality management.

synapsesocial.com/papers/6a17089b87c007abbc054e2ahttps://doi.org/10.1186/1472-6963-12-221
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Also Consider

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  1. 1Development and pilot of an internationally standardized measure of cardiovascular risk management in European primary care2011 · 15 citations
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