Start Submission Become a Reviewer

Reading: The potential for integrated care programmes to improve quality of care as assessed by patie...

Download

A- A+
Alt. Display

Research & theory

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

Authors:

Jane Murray Cramm ,

institute of Health Policy and Management Erasmus University Rotterdam, NL
About Jane

Jane Murray Cramm Ph.D.
Erasmus University Rotterdam
Institute of Health Policy & Management
P.O. Box 1738
3000 DR Rotterdam, NL
Phone + 31 06 36109268
Fax   + 31 10 408 9094
Building/room J6-045

http://oldwww.bmg.eur.nl/personal/cramm/

X close

Maureen PMH Rutten-Van Mölken,

Erasmus University Rotterdam Institute of Health Policy & Management, NL
X close

Anna Petra Nieboer

Erasmus University Rotterdam Institute of Health Policy & Management, NL
X close

Abstract

Objective: 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. 

Methods: 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). 

Results: 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). 

Conclusions: Our results suggest that even in the early stages of implementation, DMPs for COPD may significantly improve care.

How to Cite: Cramm JM, Rutten-Van Mölken MP, Nieboer AP. 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. 2012;12(5):None. DOI: http://doi.org/10.5334/ijic.836
33
Views
16
Downloads
7
Citations
Published on 18 Sep 2012.
Peer Reviewed

Downloads

  • html (EN)

  • PDF (EN)

    comments powered by Disqus