Kwaliteit en patiëntervaringen van eerstelijns ketenzorg hart- en vaatziekten in de regio Maastricht-Heuvelland tussen 2010-2012

C. Erens, B. Vrijhoef, B. Kroon, Inge Duimel - Peeters, G.J.C. Schulpen, A. Huizing

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Quality of the delivered care and patients experiences with the integrated care programme for cardiovasculair risk management in the region maastricht-heuvelland in 2010 – 2012. Background: since 2010 multiple integrated care programmes for cardiovascular diseases have been introduced in primary care in the netherlands. However, the quality of the delivered care and patients experiences with integrated care programmes are still unknown. Methods: data on process- and outcome indicators in 2010 and 2012 were collected retrospectively (n=1183 patients) from the regional clinical information system. Moreover, patient experiences with integrated care were examined cross-sectional using the pacic-questionnaire (n=402 patients). Results: process indicators were adequately registered in 2010 and in 2012. The regulation of the outcome indicators systolic blood pressure, ldl-cholesterol and smoking status have been improved significantly over time. No differences between primary and secondary prevention were found. Patients experiences with integrated care were scored as moderate (2,7±1,0;range 1-5). Delivery system design was scored highest (mean=3,4±1,0), while goal setting (mean=2,6±1,0) and follow-up/coordination (mean=2,3±1,1) were scored lowest. Conclusions: the first results of an integrated care programme for cardiovascular diseases show that intitial steps have been made in improving quality of care in the region maastricht-heuvelland. A number of outcome indicators have improved over time and the registration of process indicators is high for both primary and secondary prevention. Experiences of patients with integrated care programme are moderate. Yet, more insight into the impact over a longer period of time is recommended in order to further refine new and existing integrated care programmes in the netherlands.
Original languageDutch
Pages (from-to)24–31
JournalTijdschrift voor Gezondheidswetenschappen
Volume93
DOIs
Publication statusPublished - 2015

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