title: Applicability of the Assessment of Chronic Illness Care (ACIC) instrument in Germany resulting in a new questionnaire: questionnaire of chronic illness care in primary care.
abstract: BACKGROUND
  The Chronic Care Model (CCM) is an evidence based, population based approach to improve care for people with chronic conditions. The Assessment of Chronic Illness Care (ACIC) instrument is widely used to measure to what extent within a healthcare system the CCM is implemented. The aim of this study was to translate and culturally adapt the ACIC Instrument for the German healthcare system.
  
  
  METHODS
  For translating the ACIC instrument, principles of Good Practice for the Translation and Cultural Adaptation Process by the ISPOR Task Force were followed. Focus groups were additionally conducted with general practitioners to adapt the items culturally.
  
  
  RESULTS
  The ACIC instrument can not be used in the German healthcare system easily due to a multifaceted understanding of words, different levels of knowledge of the CCM and fundamental differences between health systems.
  
  
  CONCLUSIONS
  As following the CCM leads to benefits for patients with chronic illnesses, measuring to which extent it is implemented is of major interest. A new questionnaire using the CCM as its theoretical basis, sensitive to the healthcare systems of the host country has to be created. Knowledge transfer between countries by using an instrument from a different healthcare system can lead to a completely new questionnaire.
authors: Department of General Practice and Health Services Research, University of Heidelberg, Vossstrasse 2, Heidelberg 69115, Germany. jost.steinhaeuser@med.uni-heidelberg.de
authors: Jost
authors: J
authors: Steinhaeuser
authors: Katja
authors: K
authors: Goetz
authors: Dominik
authors: D
authors: Ose
authors: Katharina
authors: K
authors: Glassen
authors: Iris
authors: I
authors: Natanzon
authors: Stephen
authors: S
authors: Campbell
authors: Joachim
authors: J
authors: Szecsenyi
authors: Antje
authors: A
authors: Miksch
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D017144:Focus Groups; D005858:Germany; D006801:Humans; D008297:Male; D011320:Primary Health Care; D011795:Surveys and Questionnaires