Author/Editor     Tušek-Bunc, Ksenija; Petek, Davorina; Petek Šter, Marija; Kersnik, Janko
Title     Bolnikova ocena oskrbe kronične bolezni kot nova dimenzija ocenjevanja kakovosti
Translated title     Patient assessment of chronic illness care - a new dimension of quality assessment
Type     članek
Source     In: Zdravstvene stroke in njihov odziv na zdravstvene potrebe družbe: na dokazih podprto in usklajeno delovanje : zbornik predavanj z recenzijo, Bled, 11.-12. junij 2015 : = Proceedings of lectures with peer review, 11th - 12th June 2015, Bled Jesenice : Fakulteta za zdravstvo
Publication year     2015
Volume     str. 63-73
Language     slv
Abstract     Teoretična izhodišča: Bolnikova ocena vodenja kronične bolezni vse bolj nadomešča ocenjevanje zadovoljstva, ki kot kaže, ne odraža vseh dimenzij oskrbe. Bolnikov pogled na vodenje kronične bolezni reflektira kakovostno oskrbo in ponuja zdravstvenim delavcem povratne informacije o njihovem delu. Metode: Raziskava je bila opazovano presečna, znotraj Slovenije eksplorativno deskriptivna, opravljena na vzorcu 423 bolnikov s koronarno boleznijo. Obsežen vprašalnik za bolnike je med drugim vključeval še vprašalnika PACIC (Patient Assessment of Chronic Illness Care) in EUROPEP (European Practice Evaluation Project). Za prepoznanje števila in vrste sklopov vprašalniku je bila izvedena faktorska analiza. ter deskriptivna analiza vprašalnika PACIC. Za ugotavljanje korelacije med bolnikovo oceno vodenja kronične bolezni in kakovostjo vodenja je bil uporabljen Pearsonov korelacijski koeficient. Rezultati: Povprečna starost udeležencev je bila 68,0 (SO=10,8) let, 35,2 % je bilo žensk. Povprečna ocena za celoten PACIC (rang točkovanja 1-5) je znašala 3,2 (SO= 0,9). Najvišje ocenjeni so bili organizacijski aspekti ambulant: organizacija ambulante (3,7), vključevanje bolnikov (3,7) ter reševanju težav (3,5), najnižje pa spremljanje bolnika (2,7). Pearsonov korelacijski koreficient je znašal 0,11 (p=0,034). Razprava:. Vprašalnik PACIC predstavlja zanesljivo psihometrično orodje za oceno vodenja kroničnih bolezni. Povprečna oceana PACICa v naši raziskavi je bila višja, kot je bila povprečna ocene dosežena v državah sodelujočih v raziskavi Epa Cardio. Kakovost klinične oskrbe bolnika pozitivno korelira z bolnikovo oceno oskrbe, kar lahko predstavlja nov kazalec kakovosti oskrbe kronične bolezni. Bolnikove izkušnje in vključenost so ključnega pomena za doseganje boljše kakovosti oskrbe. V prihodnosti bodo potrebne nadaljnje raziskave, ki bodo natančno opredelile posamezne elemente ocenjevalnega instrumenta.Background: Patient assessment of chronic illness care is increasingly replacing the evaluation of satisfaction, which less adequately reflects all dimensions of care. Patient%s perspective of the management of their chronic disease better reflects the quality of care and offers health-care professionals more feedback. Methods: The study was cross-sectional and included 423 patients with coronary artery disease. Among others, a comprehensive questionnaire for patients included the EUROPEP (European Practice Evaluation Project) and PACIC (Patient Assessment of Chronic Illness Care) questionnaires. To identify the number and types of data sets, factorial analysis and descriptive statistics were conducted of the PACIC questionnaire. To determine the correlation between the patient%s assessment of the management of their chronic disease and the quality of care, the Pearson correlation coefficient was used. Results: The average age of the participants was 68.0 years (SD = 10.8); 35.2 % were female. The average score for the entire PACIC (on a scale of 1-5) was 3.2 (SD = 0.9). The highest scores were for organisational aspects: organisation of the practice (3.7), involvement of patients (3.7), and problem solving (3.5); the lowest score was for patient follow-up (2.7). The Pearson%s correlation coefficient was 0.11 (p = 0.034). Discussion: The PACIC questionnaire is a reliable tool for assessing the management of chronic diseases. The average PACIC score in our study was higher than the average scores in other participating countries in Epa Cardio study. The quality of clinical care was positively correlated with the patient%s assessment of that care, which may represent a new indicator of quality of care of chronic diseases. Patient experience and involvement are essential to achieve better quality of care. In the future, further research is needed to accurately identify individual elements of the evaluation instrument.
Keywords     bolnik s koronarno boleznijo
bolnikova ocena vodenja kronične bolezni
kakovost oskrbe koronarnega bolnika
patients with coronary heart disease
patient's assessment of chronic illness care
quality of care for coronary patients