Patient Assessment of Chronic Illness Care (PACIC) and Its Influence on Patient Compliance With Hypertension: A Cross-Sectional Study.

The Chronic Care Model (CCM) is a framework that supports the proactive, planned, coordinated and patient-centered care of chronic diseases. The Patient Assessment of Chronic Illness Care (PACIC) scale is a valuable tool for evaluating patients' perspectives on chronic care delivery based on the CCM...

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Publicado en:Inquiry (00469580) pp. 1 - 10
Autores principales: Zhou, Chi, Tan, Fang, Lai, Si Hong, Chen, Jing Chun, Chen, Chao Yi, Zhang, Gao Feng, Dong, Yin
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 9/8/2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 9/8/2024
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      pub: Sage Publications Inc.
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        atl: Patient Assessment of Chronic Illness Care (PACIC) and Its Influence on Patient Compliance With Hypertension: A Cross-Sectional Study.
      aug:
        au:
          Zhou, Chi
          Tan, Fang
          Lai, Si Hong
          Chen, Jing Chun
          Chen, Chao Yi
          Zhang, Gao Feng
          Dong, Yin
        affil: School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
      sug:
        subj:
          Chronic Disease
          Hypertension
          Patient Care Evaluation
          Patient Compliance
          Patient Attitudes Evaluation
          Health Care Delivery Evaluation
          Scales
          Instrument Validation
          Human
          Cross Sectional Studies
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Conceptual Framework
          Models, Theoretical
          China
          Primary Health Care
          Health Facilities
          Multiple Linear Regression
          Cardiac Patients
          Funding Source
          Patient Participation
          Decision Support Techniques
          Life Style
          Data Analysis Software
          Sociodemographic Factors
          Descriptive Statistics
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: The Chronic Care Model (CCM) is a framework that supports the proactive, planned, coordinated and patient-centered care of chronic diseases. The Patient Assessment of Chronic Illness Care (PACIC) scale is a valuable tool for evaluating patients' perspectives on chronic care delivery based on the CCM. Few studies have examined its application in China. This study assesses hypertension care in Chinese patients and explores how PACIC scores relate to patient compliance. A cross-sectional study was conducted in Hangzhou, China, from June to August 2021, including 253 hypertensive patients from 5 county hospitals and 13 primary healthcare centers. The study used the PACIC scale to assess hypertension care delivery and the Compliance of Hypertensive Patients scale (CHPS) to measure patient compliance. Multiple linear regression analyses were used to explore the relationship between demographic characteristics and the total and domain scores of PACIC, as well as the association between CHPS and the domain scores of PACIC. The mean value of overall the PACIC score was 3.12 (out of 5). Problem solving/contextual domain had the highest average score for each item, while follow up/coordination domain had the lowest. Patient activation had negative effects on intention (β = −.18, P <.05), attitude (β = −.21, P <.05), responsibility (β = −.17, P <.05), and the total score of CHPS (β = −.24, P <.01). Delivery system design/decision support was negatively associated with lifestyle (β = −.21, P <.05) and the total score of CHPS (β = −.26, P <.01). Hypertensive patients perceived that they sometimes received hypertension care consistent with the CCM in Chinese primary healthcare settings. A higher level of PACIC score was beneficial for improving hypertensive patient compliance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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