Senior onderzoeker Zorg en Participatie bij Chronische Aandoeningen; projectleider Panel voor Mensen met een Longziekte
Publicatie
Publication date
Individual care plans for chronically ill patients within primary care in the Netherlands: dissemination and associations with patient characteristics and patients-perceived quality of care.
Jansen, D.L., Heijmans, M., Rijken, M. Individual care plans for chronically ill patients within primary care in the Netherlands: dissemination and associations with patient characteristics and patients-perceived quality of care. Scandinavian Journal of Primary Health Care: 2015, 33(2), 100-106
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Objective
To examine the use of individual care plans (ICPs) within primary chronic illness care in the Netherlands, and to explore the relationships between ICP use, patient characteristics, and patient-perceived quality of care.
Design
Crosssectional study using survey data from a panel of chronically ill patients and medical registration data provided by their general practices.
Setting and subjects
A sample of 1377 patients with somatic chronic disease(s) randomly selected in general practices throughout the Netherlands, supplemented with a sample of 225 COPD patients, also recruited from general practices. Main outcome measures:
(i) Percentage of ICP use based on self-report by chronically ill patients,
(ii) patientperceived quality of care as assessed using the Patient Assessment of Chronic Illness Care (PACIC).
Results
ICP use among the total generic sample was low (9%), but slightly higher (13%) among patients diagnosed with diabetes or COPD, diseases for which disease management programmes have been set up in the Netherlands. Patients with a low educational level and patients with poor(er) self-rated health were more likely to have an ICP. Compared with patients without an ICP, patients with an ICP more often reported that the care they received was patient-centred, proactive, planned, and included collaborative goal setting, problem-solving, and follow-up support.
Conclusion and implications
Findings reveal a discrepancy between practice and policy aspirations regarding ICP use in primary chronic illness care. More research is needed to gain insight into the effectiveness of ICPs to improve the quality of chronic illness care in various patient populations. (aut. ref.)
To examine the use of individual care plans (ICPs) within primary chronic illness care in the Netherlands, and to explore the relationships between ICP use, patient characteristics, and patient-perceived quality of care.
Design
Crosssectional study using survey data from a panel of chronically ill patients and medical registration data provided by their general practices.
Setting and subjects
A sample of 1377 patients with somatic chronic disease(s) randomly selected in general practices throughout the Netherlands, supplemented with a sample of 225 COPD patients, also recruited from general practices. Main outcome measures:
(i) Percentage of ICP use based on self-report by chronically ill patients,
(ii) patientperceived quality of care as assessed using the Patient Assessment of Chronic Illness Care (PACIC).
Results
ICP use among the total generic sample was low (9%), but slightly higher (13%) among patients diagnosed with diabetes or COPD, diseases for which disease management programmes have been set up in the Netherlands. Patients with a low educational level and patients with poor(er) self-rated health were more likely to have an ICP. Compared with patients without an ICP, patients with an ICP more often reported that the care they received was patient-centred, proactive, planned, and included collaborative goal setting, problem-solving, and follow-up support.
Conclusion and implications
Findings reveal a discrepancy between practice and policy aspirations regarding ICP use in primary chronic illness care. More research is needed to gain insight into the effectiveness of ICPs to improve the quality of chronic illness care in various patient populations. (aut. ref.)
