Ongoing relationship with care provider key for patients with a chronic condition: study
(Medical Xpress) -- People with a chronic condition such as diabetes or arthritis may find themselves taking on a more active role in maintaining or improving their own health if there is an ongoing relationship with a primary healthcare (PHC) provider, according to University of British Columbia research.
Appearing in the current issue of Medical Care, the study is the first in Canada to investigate the links between having a regular primary healthcare provider and patient activation, a growing direction in healthcare that aims to increase peoples skills, confidence and knowledge so they can better manage their own health.
Primary care refers to the first level of contact with healthcare for individuals. These include clinical services from doctors, nurses or nurse practitioners as well as health promotion activities.
The idea is that we need to do the best we can with our current healthcare dollars to provide sustained quality care for individuals who in some cases are living with one or more chronic conditions, says Assoc. Prof. Sabrina Wong, lead author and a researcher in the School of Nursing and Centre for Health Services and Policy Research.
What were seeing across North America is a policy direction that links patient-reported outcome measures such as patient activation to the quality of services and care provided by primary healthcare, especially in chronic disease management, says Wong.
Previous U.S.-based studies have shown that having a strong primary healthcare system in place pays dividends for patients, and ultimately the taxpayer. For example, individuals with one or more chronic conditions experience reduced risk, and reduced duration and effects, of acute and episodic conditions. As well, they report reduced risk and effects of continuing health conditions,
For their study, Wong and the research team looked at relationships between patient activation and multiple dimensions of primary healthcare in B.C. including access, utilization, responsiveness, interpersonal communication and satisfaction for patients, both with and without a chronic condition.
Taking part in the study were 504 B.C. residents with an average age of 46. Fourteen per cent of participants reported their health as being fair or poor, and 44 per cent reported having at least one chronic condition such as arthritis, high blood pressure or diabetes.
The results suggest there is a strong relationship between patients ability to self-manage their health and having a positive relationship with at least one PHC provider, says Wong.
With the typical primary care visit lasting between 10 and 12 minutes, one aspect of care especially important to those with a chronic condition was having enough time to talk with their family physician or nurse practitioner.
Other aspects of care such as communication, patient-centered decision-making and being treated as a whole person also appear especially important for those with a chronic condition.
Findings also show that for patients with a chronic condition, high quality PHC was more about a strong connection with the place of care than whether it was delivered through group practice, solo practice or a walk-in clinic.
What was most important, however, for physically healthy adults who may visit doctors or clinics less frequently was the quality of the interpersonal interaction.
Provided by University of British Columbia
- Individual patient budgets will create a more efficient healthcare system Jan 06, 2011 | not rated yet | 0
- Most generalists reluctant to provide primary care for young adults with chronic illness Jul 29, 2008 | not rated yet | 0
- Physician assistants and internists reaffirm need for team-based primary care May 24, 2010 | not rated yet | 0
- Chronic disease management: Does it improve health and save money? May 13, 2008 | not rated yet | 0
- Chronic Care Model helps improve people’s health and care Jan 06, 2009 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Classical and Quantum Mechanics via Lie algebras
Apr 15, 2011 I'd like to open a discussion thread for version 2 of the draft of my book ''Classical and Quantum Mechanics via Lie algebras'', available online at http://lanl.arxiv.org/abs/0810.1019 , and for the...
- More from Physics Forums - Independent Research
More news stories
Talking on a hands-free device while behind the wheel can lead to a sharp increase in errors that could imperil other drivers on the road, according to new research from the University of Alberta.
Health 11 hours ago | not rated yet | 0
(HealthDay)—More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from ...
Health 13 hours ago | not rated yet | 0
After studying noise in one French Quarter neighborhood of New Orleans to determine whether or not noise levels exceeded municipal ordinances, Annette Hurley, PhD, Assistant Professor of Audiology at LSU Health Sciences Center ...
Health 14 hours ago | not rated yet | 0
Young children who missed more than half of recommended well-child visits had up to twice the risk of hospitalization compared to children who attended most of their visits, according to a study published today in the American Jo ...
Health 14 hours ago | not rated yet | 0
The individualisation of drug treatments to support patients to self-manage their conditions is a concept that sits at the heart of policy, but a recent study in BMJ Open shows that there is no concrete defini ...
Health 17 hours ago | 3 / 5 (1) | 0
(Medical Xpress)—A new study by researchers in the US has shown that an ancient virus can be modified to help in the fight against the simian immunodeficiency virus SIV, which is the equivalent in monkeys ...
17 hours ago | 5 / 5 (3) | 0 |
Two mutations central to the development of infantile myofibromatosis (IM)—a disorder characterized by multiple tumors involving the skin, bone, and soft tissue—may provide new therapeutic targets, according to researchers ...
11 hours ago | 3 / 5 (2) | 0 |
Women at a particular stage in their monthly menstrual cycle may be more vulnerable to some of the psychological side-effects associated with stressful experiences, according to a study from UCL.
14 hours ago | 3.7 / 5 (3) | 0 |
Biological processes are generally based on events at the molecular and cellular level. To understand what happens in the course of infections, diseases or normal bodily functions, scientists would need to ...
14 hours ago | 5 / 5 (4) | 0 |
How can healthy people who hear voices help schizophrenics? Finding the answer for this is at the centre of research conducted at the University of Bergen.
17 hours ago | 4 / 5 (2) | 2
(Medical Xpress)—The way Alzheimer's disease is portrayed by advocacy groups and the media is having undue influence on the euthanasia debate, according to a Deakin University nursing ethics professor.
18 hours ago | not rated yet | 2