Assessment of the quality of primary care for the elderly according to the Chronic Care Model

to evaluate the quality of care provided to older people with diabetes mellitus and/or hypertension in the Primary Health Care (PHC) according to the Chronic Care Model (CCM) and identify associations with care outcomes. cross-sectional study involving 105 older people with diabetes mellitus and/or...

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Bibliographic Details
Published in:Revista latino-americana de enfermagem 2018-03, Vol.26, p.e2987-e2987
Main Authors: Silva, Líliam Barbosa, Soares, Sônia Maria, Silva, Patrícia Aparecida Barbosa, Santos, Joseph Fabiano Guimarães, Miranda, Lívia Carvalho Viana, Santos, Raquel Melgaço
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Chronic Disease
Cross-Sectional Studies
Diabetes Mellitus
Diabetes Mellitus - therapy
Female
Health of the Elderly
Humans
Hypertension
Hypertension - therapy
Male
Middle Aged
Models, Theoretical
NURSING
Outcome and Process Assessment (Health Care)
Primary Health Care
Primary Health Care - standards
Quality Assurance, Health Care
Self Care
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Summary:to evaluate the quality of care provided to older people with diabetes mellitus and/or hypertension in the Primary Health Care (PHC) according to the Chronic Care Model (CCM) and identify associations with care outcomes. cross-sectional study involving 105 older people with diabetes mellitus and/or hypertension. The Patient Assessment of Chronic Illness Care (PACIC) questionnaire was used to evaluate the quality of care. The total score was compared with care outcomes that included biochemical parameters, body mass index, pressure levels and quality of life. Data analysis was based on descriptive statistics and multiple logistic regression. there was a predominance of females and a median age of 72 years. The median PACIC score was 1.55 (IQ 1.30-2.20). Among the PACIC dimensions, the "delivery system design/decision support" was the one that presented the best result. There was no statistical difference between the medians of the overall PACIC score and individual care outcomes. However, when the quality of life and health satisfaction were simultaneously evaluated, a statistical difference between the medians was observed. the low PACIC scores found indicate that chronic care according to the CCM in the PHC seems still to fall short of its assumptions.
ISSN:1518-8345
1518-8345
DOI:10.1590/1518-8345.2331.2987