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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Cramm, Jane Murray Nieboer, Anna Petra |
| Abstract | Background Although widespread problems in patient–professional interaction and insufficient support of patients’ self-management abilities have been recognized, research investigating the relationships among care quality, productive interaction, and self-management abilities to maintain overall well-being is lacking. Furthermore, studies have revealed differences in these characteristics among certain groups (e.g., less-educated and older patients). This longitudinal study thus aimed to identify relationships among background characteristics, quality of care, productivity of patient–professional interaction, and self-management abilities to maintain overall well-being in chronically ill patients participating in 18 Dutch disease management programs. Methods This longitudinal study included patients participating in 18 Dutch disease management programs. Surveys were administered in 2011 (T1; n = 2191 (out of 4693), 47 % response rate) and 2012 (T2: n = 1722 (out of 4350), 40 % response rate). A total of 1279 patients completed questionnaires at both timepoints (T1 and T2) (27 % response rate). Self-management abilities to maintain well-being were measured using the short (18-item) version of the Self-Management Ability Scale (SMAS-S), patients’ perceptions of the productivity of interactions with health care professionals were assessed with the relational coordination instrument and the short (11-item) version of the Patient Assessment of Chronic Illness Care (PACIC-S) was used to assess patients’ perceptions of the quality of chronic care delivery. Results Perceived and objective quality of care and the productivity of patient–professional interaction were found to be related to patients’ self-management abilities to maintain overall well-being. These abilities were related negatively to and significantly predicted by low educational level, single status, and older age, despite the mediating role of productive interaction in their relationship with patients’ perceptions of care quality. Conclusions These findings suggest that patient–professional interaction is not yet sufficiently productive to successfully protect against the deterioration of self-management abilities in some groups of chronically ill patients, although such interaction and high-quality care are important factors in such protection. Improvement of the quality of chronic care delivery should thus always be accompanied by investment in high-quality communication and patient–professional relationships. |
| Related Links | https://bmcprimcare.biomedcentral.com/counter/pdf/10.1186/s12875-015-0340-8.pdf |
| Ending Page | 8 |
| Page Count | 8 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 27314553 |
| DOI | 10.1186/s12875-015-0340-8 |
| Journal | BMC Primary Care |
| Issue Number | 1 |
| Volume Number | 16 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2015-09-15 |
| Access Restriction | Open |
| Subject Keyword | General Practice Family Medicine Primary Care Medicine Shared decision making Patient-centered care Patient preferences Quality of care Productive patient-professional interaction Self-management |
| Content Type | Text |
| Resource Type | Article |
| Subject | Family Practice |
| Journal Impact Factor | 3.2/2023 |
| 5-Year Journal Impact Factor | 3.3/2023 |
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