文章基本信息

标题：Measuring chronic care management experience of patients with diabetes: PACIC and PACIC+ validation
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作者：Hanneke Drewes ; Janneke van Til-de Jong ; Jeroen Struijs 等
期刊名称：International Journal of Integrated Care
电子版ISSN：1568-4156
出版年度：2012
卷号：12
期号：8
DOI：10.5334/ijic.862
语种：English
出版社：Utrecht University, Maastricht University, Groningen University
摘要：Background: The patient assessment of chronic illness care (PACIC) is a promising instrument to evaluate the chronic care experiences of patients, yet additional validation is needed to improve its usefulness. Methods: A total of 1941 patients with diabetes completed the questionnaire. Reliability coefficients and factor analyses were used to psychometrically test the PACIC and PACIC+ (i.e., PACIC extended with six additional multidisciplinary team functioning items to improve content validity). Intra-Class Correlations were computed to identify the extent to which variation in scores can be attributed to GP practices. Results: The PACIC and PACIC+ showed a good psychometric quality (Cronbach's alpha's > 0.9). Explorative factor analyses showed inconclusive results. Confirmative factor analysis showed that none of the factor structures had an acceptable fit (RMSEA > 0.10). In addition, 5.1 to 5.4 percent of the total variation was identified at the GP practice level. Conclusion: The PACIC and PACIC+ are reliable instruments to measure the chronic care management experiences of patients. The PACIC+ is preferred because it also includes multidisciplinary coordination and cooperation - one of the central pillars of chronic care management - with good psychometric quality. Previously identified subscales should be used with caution. Both PACIC instruments are useful in identifying GP practice variation.
关键词：chronic care model ; patient experience ; chronic care management ; integrated care ; diabetes ; PACIC