EVALUATION OF PATIENT-CENTERED CARE IN SHORT-TERM CANCER SURVIVORS, THROUGH THE PATIENT ASSESSMENT OF CHRONIC ILLNESS CARE QUESTIONNAIRE

Author(s)

Escobar A1, Perez-Ruiz E2, Rueda A2, Trujillo-Martin Md3, Trancho Z4
1Basurto University Hospital (Osakidetza) - REDISSEC, Bilbao, Spain, 2Agencia Sanitaria Costa del Sol. REDISSEC, Marbella, Spain, 3Servicio de Evaluación y Planificación. REDISSEC, Tenerife, Spain, 4Hospital Universitario Basurto. REDISSEC, Bilbao, Spain

OBJECTIVES: The Chronic Care Model (CCM) is an accepted framework for delivering care to patients with chronic illnesses. The Patient Assessment of Chronic Illness Care (PACIC) is a questionnaire designed to assess the CCM from the patient´s perspective, focusing on the receipt of patient centered care. Our aim was to document patient´s assessment of chronic illness care in short-term cancer survivors, through PACIC METHODS: Patients with colo-rectal (CCR), breast or prostate cancer and who finished their treatment three years before answering the questionnaire were included in the study. PACIC was administered by mail and has 5 subscales, patient activation (PA), delivery system design (DSD), goal setting (GS), problem solving (PS) and follow-up coordination (FU). In addition there is a global score (G). Each subscale and the global are scored from 1 to 5 with higher scores indicating patient´s perception of greater involvement in self- management and receipt of chronic care counseling. Data are expressed as mean (standard deviation). Comparison amongst location has been carried out through analysis of variance with Scheffé post-hoc test. PACIC has been validated in Spanish. RESULTS: There were 645 patients included, 139 prostate, 339 breast and 167 with CCR. The mean (SD) by dimensions were: PA: 3.2 (1.4), DSD: 3.5 (1.2), GS: 2.6 (1.3), PS: 2.8 (1.5), FU: 2.2 (1.2) and global: 2.8 (1.2). There were statistically significant differences amongst cancer location in two dimensions, PS (p= 0.02) and FU (p =0.002), with best scores in CCR in both cases.  CONCLUSIONS: To our knowledge this is the first time that PACIC is used in cancer patients. Patient activation and delivery system design have shown the best scores and follow-up, a critical point the worst score although with differences; being CCR survivors who better have evaluated this dimension

Conference/Value in Health Info

2015-11, ISPOR Europe 2015, Milan, Italy

Value in Health, Vol. 18, No. 7 (November 2015)

Code

PCN348

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Quality of Care Measurement

Disease

Oncology

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