Dataset Information

Assessing a national policy on strengthening chronic care in primary care settings of a middle-income country using patients' perspectives.

ABSTRACT:

Background

To improve care for patients with chronic diseases, a recent policy initiative in Thailand focused on strengthening primary care based on the concept of Chronic Care Model (CCM). This study aimed to assess the perception of patients about the health care services after the implementation.

Methods

We conducted a cross-sectional survey of 4071 patients with hypertension and/or diabetes registered with 27 primary care units and 11 hospital non-communicable diseases (NCDs) clinics in 11 provinces. The patients were interviewed using a validated questionnaire of the Patient Assessment of Chronic Illness Care. Upgraded primary care units (PCUs) were ordinary PCUs with the multi-professional team including a physician. Trained upgraded PCUs were upgraded PCUs with the training input. Structural equation modeling was used to create subscale scores for CCM and 5 A model characteristics. Mixed effect logistic models were employed to examine the association of subscales (high vs low score) of patient perception of the care quality with type of PCUs.

Results

Compared to hospital NCD clinics, ordinary PCUs were the best in the odds of receiving high score for every CCM subscale (ORs: 1.46-1.85; p?ConclusionsThe policy implementation might not satisfy the patients' perception on quality of chronic care according to the CCM and the 5A model subscale. However, the arrangement of chronic care with patients seeing the same doctors or patients having telephone contact with healthcare providers may satisfy the patients' perceived needs.

SUBMITTER: Aekplakorn W

PROVIDER: S-EPMC7953793 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Assessing a national policy on strengthening chronic care in primary care settings of a middle-income country using patients' perspectives.

Aekplakorn Wichai W Suriyawongpaisal Paibul P Srithamrongsawadi Samrit S Kaewkamjonchai Phanuwich P

BMC health services research 20210312 1

<h4>Background</h4>To improve care for patients with chronic diseases, a recent policy initiative in Thailand focused on strengthening primary care based on the concept of Chronic Care Model (CCM). This study aimed to assess the perception of patients about the health care services after the implementation.<h4>Methods</h4>We conducted a cross-sectional survey of 4071 patients with hypertension and/or diabetes registered with 27 primary care units and 11 hospital non-communicable diseases (NCDs) ...[more]

PMID: 33711999

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Dataset Information

Assessing a national policy on strengthening chronic care in primary care settings of a middle-income country using patients' perspectives.

Background

Methods

Results

Publications

Assessing a national policy on strengthening chronic care in primary care settings of a middle-income country using patients' perspectives.

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