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
<strong>Objective:</strong> 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. <strong>Methods:</strong>...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2012-09-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/articles/836 |
| _version_ | 1818310860118949888 |
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| author | Jane Murray Cramm Maureen PMH Rutten-Van Mölken Anna Petra Nieboer |
| author_facet | Jane Murray Cramm Maureen PMH Rutten-Van Mölken Anna Petra Nieboer |
| author_sort | Jane Murray Cramm |
| collection | DOAJ |
| description | <strong>Objective:</strong> 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. <strong>Methods:</strong> 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). <strong>Results: </strong>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). <strong>Conclusions:</strong> Our results suggest that even in the early stages of implementation, DMPs for COPD may significantly improve care. |
| first_indexed | 2024-12-13T07:52:46Z |
| format | Article |
| id | doaj.art-21bd3a14bb3448ee98006517d1931faa |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-13T07:52:46Z |
| publishDate | 2012-09-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-21bd3a14bb3448ee98006517d1931faa2022-12-21T23:54:36ZengUbiquity PressInternational Journal of Integrated Care1568-41562012-09-0112510.5334/ijic.836935The 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 NetherlandsJane Murray Cramm0Maureen PMH Rutten-Van Mölken1Anna Petra Nieboer2institute of Health Policy and Management Erasmus University RotterdamErasmus University Rotterdam Institute of Health Policy & ManagementErasmus University Rotterdam Institute of Health Policy & Management<strong>Objective:</strong> 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. <strong>Methods:</strong> 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). <strong>Results: </strong>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). <strong>Conclusions:</strong> Our results suggest that even in the early stages of implementation, DMPs for COPD may significantly improve care.http://www.ijic.org/articles/836chronic careintegrated caredisease managementCOPDchronic care model |
| spellingShingle | Jane Murray Cramm Maureen PMH Rutten-Van Mölken Anna Petra Nieboer 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 International Journal of Integrated Care chronic care integrated care disease management COPD chronic care model |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | chronic care integrated care disease management COPD chronic care model |
| url | http://www.ijic.org/articles/836 |
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