Primary Care Attributes, Health Care System Hassles, and Chronic Illness
Bibliographic Data
| ID | 9104089 |
|---|---|
| Authors | Michael L Parchman (0000-0001-7129-2889, The University of Texas at San Antonio Health Science Center, corresponding author), Polly Hitchcock No??l, Polly Hitchcock No l (South Texas Veterans Health Care System), Shuko Lee (0000-0002-4286-4152, South Texas Veterans Health Care System, corresponding author) |
| Year | 2005 |
| Volume | 43 |
| Issue | 11 |
| Pages | 1123-1129 |
| Publication date | 2005-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000182530.52979.29 |
| PMID | 16224306 |
| OpenAlex | W2050280441 |
| Language | EN |
| Citations received | 4 |
| References cited | 20 |
BACKGROUND: Patients with a chronic illness are likely to report difficulties in their encounters with the health care system. Although most patients with a chronic illness are managed by primary care clinicians, little is known about how the attributes of primary care might be related to health care system hassles. OBJECTIVE: We sought to examine the relationship between attributes of primary care and health care system hassles among veterans with one or more chronic illnesses. RESEARCH DESIGN: This was a cross-sectional mailed survey. SUBJECTS: We included veterans with one or more chronic illnesses who were cared for in the South Texas Veteran's health care system. MEASURES: The Components of Primary Care Instrument was used to measure 4 attributes of primary care: accumulated knowledge of the patient by the clinician, coordination of care, communication, and preference for first contact with their primary care clinician. A 16-item health care systems hassles scale was constructed and demonstrated good face validity and reliability with a Cronbach's alpha of 0.94. RESULTS: Of the 720 surveys administered by mail, 422 (59%) were returned. Patients with multiple chronic illnesses reported a higher level of hassles than patients with a single chronic illness. After controlling for patient characteristics, primary care communication and coordination of care were inversely associated with patient hassles score: as communication and coordination improved, the reported level of hassles decreased. CONCLUSIONS: Effective delivery of primary care to patients with one or more chronic illnesses may be important in decreasing the level of hassles they experience as they interact with the health care delivery system
Environmental health · Family medicine · MEDLINE · Political science · Primary care · Primary health care · Chronic Disease Management Strategies · Diabetes Management and Education · Medicine · Primary Care and Health Outcomes
Health-Related Quality of Life in Patients Served by the Department of Veterans Affairs
Multimorbidity in General Practice
A Rationale and Test for the Number of Factors in Factor Analysis
Collaborative care needs and preferences of primary care patients with multimorbidity
Component Analysis versus Common Factor Analysis
The Association of Attributes of Primary Care With the Delivery of Clinical Preventive Services
Veterans?? and Nonveterans?? Use of Health Services
The Primary Care Assessment Survey
What patients like about their medical care and how often they are asked
Comparison of five rules for determining the number of components to retain
| Unique citing works | 4 |
|---|---|
| Citations per year | 0.25 |
| Citation span | 2010 - 2024 (15) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 4 |