Patient Assessment of Chronic Illness Care (PACIC) and improved patient-centered outcomes for chronic conditions.
BACKGROUND
The Patient Assessment of Chronic Illness Care (PACIC) has potential for use as a patient-centered measure of the implementation of the Chronic Care Model (CCM), but there is little research on the relationship between the PACIC and important behavioral and quality measures for patients with chronic conditions.


OBJECTIVE
To examine the relationship between PACIC scores and self-management behaviors, patient rating of their health care, and self-reported quality of life.


METHODS
Cross-sectional survey with a 61% response rate.


METHODS
Included in the survey were 4,108 adults with diabetes, chronic pain, heart failure, asthma, or coronary artery disease in the Kaiser Permanente Medical Care program across 7 regions nationally.


METHODS
The PACIC was the main independent variable. Dependent variables included use of self-management resources, self-management behaviors such as regular exercise, self-reported adherence to medications, patient rating of their health care, and quality of life.


RESULTS
PACIC scores were significantly, positively associated with all measures (odds ratio [ORs] ranging from 1.20 to 2.36) with the exception of self-reported medication adherence.


CONCLUSIONS
Use of the PACIC, a practical, patient-level assessment of CCM implementation, could be an important tool for health systems and other stakeholders looking to improve the quality of chronic disease care.
Schmittdiel
Julie
J
Kaiser Permanente Division of Research, Northern California, Oakland, CA, USA. Julie.A.Schmittdiel@kp.org
Mosen
David M
DM
Glasgow
Russell E
RE
Hibbard
Judith
J
Remmers
Carol
C
Bellows
Jim
J
D000368:Aged; D002908:Chronic Disease / Q000628:therapy*; D003430:Cross-Sectional Studies; D005260:Female; D006279:Health Maintenance Organizations / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D011788:Quality of Life; D012648:Self Care; D014481:United States