Use of the Patient Assessment of Chronic Illness Care (PACIC) with diabetic patients: relationship to patient characteristics, receipt of care, and self-management.

@article{Glasgow2005UseOT,
  title={Use of the Patient Assessment of Chronic Illness Care (PACIC) with diabetic patients: relationship to patient characteristics, receipt of care, and self-management.},
  author={Russell E. Glasgow and Holly Whitesides and Candace C Nelson and Diane K. King},
  journal={Diabetes care},
  year={2005},
  volume={28 11},
  pages={
          2655-61
        }
}
OBJECTIVE There is a dearth of information on the extent to which diabetic patients receive care congruent with the chronic care model (CCM) and evidence-based behavioral counseling. This study evaluates a new instrument to fill this gap. RESEARCH DESIGN AND METHODS A heterogeneous sample of 363 type 2 diabetic patients completed the original Patient Assessment of Chronic Illness Care (PACIC), along with additional items that allowed it to be scored according to the "5As" (ask, advise, agree… 

Figures and Tables from this paper

Psychometric properties of the Patient Assessment of Chronic Illness Care measure (PACIC-5A) among patients with obesity
TLDR
Evidence is provided regarding the psychometric properties of the German version of the PACIC-5A used in a sample of GP patients with obesity to make an important contribution to the reliable and valid assessment of the patient-GP interaction with regard to obesity counseling in primary care.
Patient Assessment of Chronic Illness Care (PACIC) and Improved Patient-centered Outcomes for Chronic Conditions
TLDR
Use of the PACIC, a practical, patient-level assessment of CCM implementation, could be an important tool for health systems and other stakeholders looking to improve the quality of chronic disease care.
Evaluating the Structure of the Patient Assessment of Chronic Illness Care (PACIC) Survey from the Patient’s Perspective
  • Jiaquan Fan, R. McCoy, N. Shah
  • Medicine, Psychology
    Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
  • 2015
TLDR
The underlying factorial structure of PACIC, which reflects the patient perspective, is dynamic, patient-centered, and differs from the original 5-factor model that was more aligned with views of healthcare delivery stakeholders.
The use of the Patient Assessment of Chronic Illness Care (PACIC) instrument in diabetes care: a systematic review and meta-analysis
TLDR
The PACIC is a widely used instrument, but the direct comparison of PACIC scores between studies should be performed with caution as studies may employ different versions and the influence of cultural norms and language on the PACIC score remains unknown.
Diabetic patient assessment of chronic illness care using PACIC+
TLDR
PACIC+ and the revised 5As “ask, advise, agree, assist and arrange” scoring of a sample of DM patients, with their QoL, depressive symptomatology, demographic and disease characteristics, self-management behaviours of healthy eating and physical activity, showed a positive and low correlation in several subscales.
Diabetes care: Comparison of patients' and healthcare professionals' assessment using the PACIC instrument
TLDR
Evaluation of diabetes care, as reported by patients with diabetes and healthcare professionals (HCPs), using PACIC and 5As instruments suggested that care was not reported similarly when received or provided.
German diabetes disease management programs are appropriate to restructure care according to the Chronic Care Model . An evaluation with the Patient Assessment of Chronic Illness Care ( PACIC-5 A ) instrument
TLDR
DMPs as currently established in primary care in Germany may impact provided care significantly as changes in daily practice are recognized by patients as care that is more structured and that reflects the core elements of the CCM and evidence-based counselling to a larger extent as usual care.
The Patient Assessment of Chronic Illness Care Questionnaire: Evaluation in Patients with Mental Disorders in Primary Care
TLDR
The psychometric properties of the PACIC were good, and the perspective of patients with mental disorders, such as depression, on primary chronic illness care can be assessed adequately by thePACIC.
Patients Assessment of Chronic Illness Care (PACIC) in two Australian studies: structure and utility.
TLDR
The two-Factor structure of the PACIC found in these Australian studies is different from the five-factor structure found in the US and the European studies and may be related to differences in the way patients interact with the health system especially the use of Team Care plans.
Perceived quality of chronic illness care is associated with self-management : Results of a nationwide study in the Netherlands
TLDR
Chronically ill patients who have the experience to receive highquality chronic illness care that focusses on patient activation, decision support, goal setting, problem solv-ing, and coordination of care are better selfmanagers.
...
...

References

SHOWING 1-10 OF 29 REFERENCES
Development and Validation of the Patient Assessment of Chronic Illness Care (PACIC)
TLDR
A brief, validated patient self-report instrument to assess the extent to which patients with chronic illness receive care that aligns with the Chronic Care Model, the PACIC appears to be a practical instrument that is reliable and has face, construct, and concurrent validity.
Implementing the Chronic Care Model for Improvements in Diabetes Care and Education in a Rural Primary Care Practice
TLDR
Implementing systems to support decision support, selfmanagement education, and delivery system redesign has a positive influence on practices and patient outcomes in outlying rural communities.
Assessment of chronic illness care (ACIC): a practical tool to measure quality improvement.
TLDR
Results and feedback from teams suggest that the ACIC is responsive to health care quality-improvement efforts and may be a useful tool to guide quality improvement in chronic illness care and to track progress over time.
Quality improvement in chronic illness care: a collaborative approach.
Chronic disease management: what will it take to improve care for chronic illness?
  • E. Wagner
  • Medicine, Psychology
    Effective clinical practice : ECP
  • 1998
TLDR
Results of randomized trials show that effective disease management programs can achieve substantially better outcomes than usual care, the control intervention, and the evidence strongly suggests that ambulatory care systems should be reshaped for this purpose.
Randomized effectiveness trial of a computer-assisted intervention to improve diabetes care.
TLDR
Staff in small, mixed-payer primary care offices can consistently implement a patient-centered intervention to improve PRP measures of quality of diabetes care, and this program was well implemented and significantly improved both the number of laboratory assays and patient- centered aspects of diabetes Care patients received.
Self-Management aspects of the improving chronic illness care breakthrough series: Implementation with diabetes and heart failure teams
TLDR
Improvements were found for both diabetes and heart failure teams, suggesting that this improvement process may be broadly applicable and lessons learned, keys to suc cess, and directions for future research and practice are discussed.
Improving chronic illness care: translating evidence into action.
TLDR
The CCM is described, its use in intensive quality improvement activities with more than 100 health care organizations, and insights gained in the process are described, to guide quality improvement.
Improving primary care for patients with chronic illness.
TLDR
The chronic care model is a guide to higher-quality chronic illness management within primary care and predicts that improvement in its 6 interrelated components can produce system reform in which informed, activated patients interact with prepared, proactive practice teams.
...
...