Loading...
Please wait, while we are loading the content...
Similar Documents
L’influence des caractéristiques organisationnelles de la première ligne médicale sur l’auto-soins en maladies chroniques au Québec
| Content Provider | Semantic Scholar |
|---|---|
| Author | Lemieux, Valérie |
| Copyright Year | 2010 |
| Abstract | For effective chronic care, primary health care (PHC) organisations need to support the active engagement of patients in managing their condition. Since few studies have examined how organisational factors influence with patients’ ability for chronic illness self-management in the context of primary care, the primary objective of this research was to explore how PHC organisational attributes are associated with patients’ perceived ability for chronic illness selfmanagement. To attain this goal, a sample of 776 adults living with a chronic illness was recruited in 33 PHC settings that had responded to an organisational survey. They were administered a questionnaire on self-efficacy for managing chronic disease at 0, 6 and 12 months. Three-level regression models measured the link between selected organisational PHC characteristics and patients’ perceived ability to manage their primary illness. Our results show that organisational factors exert little influence on patient’s confidence for chronic illness selfmanagement compared to individual attributes, and that self-management support appears low in all primary care organisations regardless of their characteristics. None of the organisational attributes was significantly associated with self-efficacy after adjusting for the lower level variables, but significant bivariate relationships were observed. These results suggest that every type of PHC organisation should make explicit efforts to improve self-management support and that the presence of facilitating elements in their organisational configuration may not spontaneously translate into better provision of chronic disease selfmanagement support and education. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://papyrus.bib.umontreal.ca/xmlui/bitstream/handle/1866/3896/Lemieux_Valerie_2010_Memoire.pdf;jsessionid=BC78085CE096C6264FC788F760D6FB2D?sequence=4 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
