Development and validation of the patient assessment of chronic illness care (PACIC)
Development and validation of the patient assessment of chronic illness care (PACIC)
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DOI：
10.1097/01.mlr.0000160375.47920.8c
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发表时间：
2005-05-01
期刊：
影响因子：
3
通讯作者：
Greene, SA
中科院分区：
文献类型：
--
作者：
Glasgow, RE;Wagner, EH;Greene, SA
理由：有必要做一份简报。经过验证的患者自我报告工具，用于评估慢性病患者接受与慢性护理模式相一致的护理的程度——测量以患者为中心、积极主动、有计划并包括协作目标设定的护理；解决问题和后续支持。样本：研究了来自大型综合医疗保健系统的283名报告一种或多种慢性疾病的成年人。方法：被试完成20项《慢性疾病护理患者评估》（PACIC），并测量人口统计学因素、患者激活量表和初级保健评估工具的子量表，以评估PACIC的测量效果、结构和并发效度。结果：PACIC由5个量表和一个总体总结得分组成，每个量表在简短量表上具有良好的内部一致性。正如预测的那样，太平洋指数与年龄和性别只有轻微的相关性，与教育无关。与预测相反，它与慢性疾病的数量只有轻微相关（r = 0.13）。PACIC表现出中等的重测信度（在3个月的过程中r = 0.58），并且与初级保健和患者激活的测量具有中等的相关性（r = 0.32-0.60，中位数= 0.50,P < 0.001）。讨论：PACIC似乎是一种实用的工具，它是可靠的，具有表面、结构和并发效度。由此产生的问卷是在公共领域，并建议其用于研究和质量改进概述。
Rationale: There is a need for a brief. validated patient self-report instrument to assess the extent to which patients with chronic illness receive care that aligns with the Chronic Care Model-measuring care that is patient-centered, proactive, planned and includes collaborative goal setting; problem-solving and follow-up support.Sample: A total of 283 adults reporting one or more chronic illness from a large integrated health care delivery system were studied.Methods: Participants completed the 20-item Patient Assessment of Chronic Illness Care (PACIC) as well as measures of demographic factors, a patient activation scale, and subscales from a primary care assessment instrument so that we could evaluate measurement performance, construct, and concurrent validity of the PACIC.Results: The PACIC consists of 5 scales and an overall summary score, each having good internal consistency for brief scales. As predicted, the PACIC was only slightly correlated with age and gender, and unrelated to education. Contrary to prediction, it was only slightly correlated (r = 0.13) with number of chronic conditions. The PACIC demonstrated moderate test-retest reliability (r = 0.58 during the course of 3 months) and was correlated moderately, as predicted (r = 0.32-0.60, median = 0.50, P < 0.001) to measures of primary care and patient activation.Discussion: The PACIC appears to be a practical instrument that is reliable and has face, construct, and concurrent validity. The resulting questionnaire is in the public domain, and recommendations for its use in research and quality improvement are outlined.