Institute for General Practice, Goethe-University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany.
Community Ment Health J. 2011 Aug;47(4):447-53. doi: 10.1007/s10597-010-9340-2. Epub 2010 Aug 24.
The Chronic Care Model provides evidence-based recommendations to improve the care for patients with chronic conditions. The Patient Assessment of Chronic Illness Care questionnaire (PACIC) is an instrument to evaluate the patient's perspective on receipt of care delivered in the five domains patient activation, delivery system, goal setting, problem solving, and follow-up. The aim of this study was to assess the psychometric characteristics of the PACIC in 442 primary care patients with major depression. The psychometric properties were good. We found possible ceiling effects in the two subscales 'patient activation' (12.9%) and 'problem solving/contextual' (8.9%), as well as floor effects in 'goal setting/tailoring' (4.6%). The Cronbach's α coefficient for the total scale was excellent (0.91). We found two major factors, which we labeled according to the PACIC domains as composite factors 'patient activation and problem solving' as well as 'goal setting and coordination'. The perspective of patients with mental disorders, such as depression, on primary chronic illness care can be assessed adequately by the PACIC.
慢性关怀模式提供循证建议，以改善慢性病患者的护理。慢性病患者关怀评估问卷（PACIC）是一种评估患者对在五个领域（患者激活、交付系统、目标设定、问题解决和随访）中接受护理的看法的工具。本研究旨在评估 442 名主要患有抑郁症的初级保健患者对 PACIC 的心理测量学特征。心理测量学特性良好。我们发现两个子量表“患者激活”（12.9%）和“问题解决/背景”（8.9%）可能存在天花板效应，以及“目标设定/定制”（4.6%）的地板效应。总量表的克朗巴赫α系数为优秀（0.91）。我们发现了两个主要因素，根据 PACIC 领域，我们将其标记为“患者激活和问题解决”以及“目标设定和协调”的综合因素。PACIC 可以充分评估患者对精神障碍（如抑郁症）的主要慢性疾病护理的看法。
