Back to Search
Start Over
How to Improve Integrated Care for People with Chronic Conditions: Key Findings from EU FP-7 Project INTEGRATE and Beyond
- Source :
- International Journal of Integrated Care, Vol 17, Iss 4 (2017), International Journal of Integrated Care, 17(4):7. IGITUR, UTRECHT PUBLISHING & ARCHIVING SERVICES, International Journal of Integrated Care, International Journal of Integrated Care; Vol 17: July-September 2017; 7
- Publication Year :
- 2017
- Publisher :
- Ubiquity Press, 2017.
-
Abstract
- Many survey studies in health care adjust for demographic characteristics such as age, gender, educational attainment and general health when performing statistical analyses. Whether the effects of these demographic characteristics are consistent between patient groups remains to be determined. This is important as the rationale for adjustment is often that demographic sub-groups differ in their so-called 'response tendency'. This rationale may be less convincing if the effects of response tendencies vary across patient groups. The present paper examines whether the impact of these characteristics on patients' global rating of care varies across patient groups.Secondary analyses using multi-level regression models were performed on a dataset including 32 different patient groups and 145,578 observations. For each demographic variable, the 95% expected range of case-mix coefficients across patient groups is presented. In addition, we report whether the variance of coefficients for demographic variables across patient groups is significant.Overall, men, elderly, lower educated people and people in good health tend to give higher global ratings. However, these effects varied significantly across patient groups and included the possibility of no effect or an opposite effect in some patient groups.The response tendency attributed to demographic characteristics - such as older respondents being milder, or higher educated respondents being more critical - is not general or universal. As such, the mechanism linking demographic characteristics to survey results on patient experiences with quality of care is more complicated than a general response tendency. It is possible that the response tendency interacts with patient group, but it is also possible that other mechanisms are at play.
- Subjects :
- medicine.medical_specialty
Economic growth
Health (social science)
Sociology and Political Science
Policy Paper
Best practice
media_common.quotation_subject
chronic care
Personalization
Health(social science)
03 medical and health sciences
0302 clinical medicine
policies
Critical success factor
medicine
Quality (business)
030212 general & internal medicine
10. No inequality
media_common
integrated care
Chronic care
lcsh:R5-920
business.industry
030503 health policy & services
Public health
Public relations
Health policy
3. Good health
Integrated care
Sustainability
Business
0305 other medical science
lcsh:Medicine (General)
Subjects
Details
- Language :
- English
- ISSN :
- 15684156
- Volume :
- 17
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- International Journal of Integrated Care
- Accession number :
- edsair.doi.dedup.....3037bd11856ac21e556cea553fb9fef3