Structured chronic primary care and health-related quality of life in chronic heart failure

Marije Bosch, Trudy Van Der Weijden, Richard Grol, Henk Schers, Reinier Akkermans, Louis Niessen, Michel Wensing

Research output: Contribution to journalArticle

Abstract

Background. Structured care is proposed as a lever for improving care for patients with chronic conditions. The purpose of this study was to explore the associations of structured care characteristics, derived from the Chronic Care Model, with health-related quality of life (HRQOL) and optimal clinical management in chronic heart failure (CHF) patients in primary care, as well as the association between optimal management and HRQOL. Methods. Cross-sectional observational study using multi-level random-coefficient analyses of a representative sample of 357 patients diagnosed with CHF from 42 primary care practices in the Netherlands. We combined individual medical record data with patient and physician uestionnaires. Results. There was large variation in the levels and presence of structured care elements. A 91% of physicians indicated that next ppointments for CHF patients were made immediately after visits, while 11% indicated that reminders on CHF management were periodically received in their practice. Few associations were found between the organizational characteristics and optimal treatment or HRQOL. Optimal pharmacological treatment related to better quality of life ( = -11.5, P

Original languageEnglish (US)
Article number104
JournalBMC Health Services Research
Volume9
DOIs
StatePublished - 2009

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Primary Health Care
Heart Failure
Quality of Life
Physicians
Netherlands
Medical Records
Observational Studies
Patient Care
Cross-Sectional Studies
Pharmacology
Therapeutics

ASJC Scopus subject areas

  • Health Policy

Cite this

Structured chronic primary care and health-related quality of life in chronic heart failure. / Bosch, Marije; Van Der Weijden, Trudy; Grol, Richard; Schers, Henk; Akkermans, Reinier; Niessen, Louis; Wensing, Michel.

In: BMC Health Services Research, Vol. 9, 104, 2009.

Research output: Contribution to journalArticle

Bosch, Marije ; Van Der Weijden, Trudy ; Grol, Richard ; Schers, Henk ; Akkermans, Reinier ; Niessen, Louis ; Wensing, Michel. / Structured chronic primary care and health-related quality of life in chronic heart failure. In: BMC Health Services Research. 2009 ; Vol. 9.
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AU - Akkermans, Reinier

AU - Niessen, Louis

AU - Wensing, Michel

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