|
KMID : 0387320140240040312
|
|
Korean Journal of Health Policy and Administration
2014 Volume.24 No. 4 p.312 ~ p.321
|
|
|
Evaluating Chronic Care of Public Health Centers in a Metropolitan City
|
|
Choi Yong-Jun
Shin Dong-Soo
Kang Min-Ah
Bae Sang-Soo
Kim Jai-Yong
|
|
|
Abstract
|
|
|
Background: To evaluate the quality of chronic care provided by public health centers located in a South Korean metropolitan city using a modified Assessment of Chronic Illness Care (ACIC).
Methods: We conducted self-evaluation surveys and collected data using a modified ACIC from twenty five public health centers. Cultural validity of the original ACIC was examined by the public health and nursing science experts. Based on expert reviews, cognitive interviews, pre-test results, five items of the original ACIC that were not relevant were deleted. The response scale was changed from twelve-point Likert scale to Guttman scale but its scoring system was maintained.
Results: Eighty eight percent of public health centers in this study reported that their overall quality of chronic care was at a limited or basic level. About 68% of the centers reported that the organization was as reasonably good or fully developed to provide chronic care. On the other hand, 96% of the public health centers reported that the clinical information system was at a very limited or basic support level. The decision support, the integration of Chronic Care Model components, the delivery system design, the community linkages, and the self-management support were evaluated as limited or basic level of support by more than half of the public health centers, respectively.
Conclusion: In a metropolitan area of South Korea, quality of chronic care in public health centers was not found to reach acceptable levels of services. It is critical to enhance the quality of chronic care in public health centers.
|
|
|
KEYWORD
|
|
|
Chronic disease, Disease management, Process assessment (health care)
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|