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báo cáo khoa học:" Assessment of Chronic Illness Care with the German version of the ACIC in different primary care settings in Switzerland"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Assessment of Chronic Illness Care with the German version of the ACIC in different primary care settings in Switzerland | Steurer-Stey et al. Health and Quality of Life Outcomes 2010 8 122 http www.hqlo.eom content 8 1 122 HEALTH AND QUALITY of life outcomes RESEARCH Open Access Assessment of Chronic Illness Care with the German version of the ACIC in different primary care settings in Switzerland 1 1 3 2 1 Claudia Steurer-Stey Anja Frei Gabriela Schmid-Mohler Sibylle Malcolm-Kohler Marco Zoller Thomas Rosemann1 Abstract Background In Switzerland the extent to which patients with chronic illnesses receive care congruent with the Chronic Care Model CCM is unknown. Methods According to guidelines we translated the Assessment of Chronic Illness Care ACIC into German G-ACIC . We tested the instrument in different primary care settings and compared subscales with the original testing. Results Difficulties encountered during the translation process consisted in the difference of health care settings in Switzerland and USA. However initial testing showed the G-ACIC to be a suitable instrument. The average ACIC subscale scores in Swiss managed care MC - group GP - and single handed practices SP were higher for MC practices than for group- and single handed practices Organization of the healthcare delivery system MC mean m 6.80 SD 1.55 GP m 5.42 SD 0.99 SP m 4.60 SD 2.07 community linkages MC m 4.19 SD 1.47 GP m 4.83 SD 1.81 SP m 3.10 SD 2.12 self-management support MC m 4.96 sD 1.13 GP m 4.73 SD 1.40 SP m 4.43 SD 1.34 decision support MC m 4.75 SD 1.06 GP m 4.20 SD 0.87 SP m 3.25 SD 1.59 delivery system design MC m 5.98 SD 1.61 GP m 5.05 SD 2.05 SP m 3.86 SD 1.51 and clinical information systems MC m 4.34 SD 2.49 GP m 2.06 SD 1.35 SP m 3.20 SD 1.57 . Conclusions The G-ACIC is applicable and useful for comparing different health care settings in German speaking countries. Managed care organizations seem to implement the different components of the CCM in a greater extend than group and single handed practices. However much room exists for further improvement. Introduction The Assessment of .