The use of the Patient Assessment of Chronic Illness Care (PACIC) instrument in diabetes care: a systematic review and meta-analysis.

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_1D8F183AED72
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
The use of the Patient Assessment of Chronic Illness Care (PACIC) instrument in diabetes care: a systematic review and meta-analysis.
Journal
International journal for quality in health care
Author(s)
Arditi C., Iglesias K., Peytremann-Bridevaux I.
ISSN
1464-3677 (Electronic)
ISSN-L
1353-4505
Publication state
Published
Issued date
01/12/2018
Peer-reviewed
Oui
Volume
30
Number
10
Pages
743-750
Language
english
Notes
Publication types: Journal Article ; Meta-Analysis ; Systematic Review
Publication Status: ppublish
Abstract
The Patient Assessment of Chronic Illness Care (PACIC) was created to assess whether provided care is congruent with the Chronic Care Model, according to patients. We aimed to identify all studies using the PACIC in diabetic patients to explore (i) how overall PACIC scores varied across studies and (ii) whether scores varied according to healthcare delivery, patient and instrument characteristics.
MEDLINE, Embase, PsycINFO, CINAHL and PubMed Central (PMC), from 2005 to 2016.
Studies of any design using the PACIC in diabetic patients.
We extracted data on healthcare delivery, patient, and instrument characteristics, and overall PACIC score and standard deviation. We performed random-effects meta-analyses and meta-regressions.
We identified 34 studies including 25 942 patients from 13 countries, mostly in North America and Europe, using different versions of the PACIC in 11 languages. The overall PACIC score fluctuated between 1.7 and 4.2, with a pooled score of 3.0 (95% confidence interval 2.8-3.2, 95% predictive interval 1.9-4.2), with very high heterogeneity (I2 = 99%). The PACIC variance was not explained by healthcare delivery or patient characteristics, but by the number of points on the response scale (5 vs. 11) and the continent (Asia vs. others).
The PACIC is a widely used instrument, but the direct comparison of PACIC scores between studies should be performed with caution as studies may employ different versions and the influence of cultural norms and language on the PACIC score remains unknown.
Keywords
Chronic Disease/therapy, Diabetes Mellitus/therapy, Health Care Surveys/standards, Humans, Language, Patient Satisfaction, Quality of Health Care
Pubmed
Web of science
Create date
12/05/2018 10:19
Last modification date
20/08/2019 13:53
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