Better experiences with quality of care predict well-being of patients with chronic obstructive pulmonary disease in the Netherlands

Authors

  • Jane Murray Cramm institute of Health Policy and Management Erasmus University Rotterdam
  • Shahab Jolani Department of Methodology and Statistics, Utrecht University, Utrecht, The Netherlands
  • Stef van Buuren Department of Methodology and Statistics, Utrecht University, Utrecht, The Netherlands & Department of Life Style, TNO, Leiden, The Netherlands
  • Anna Petra Nieboer Erasmus University Rotterdam Institute of Health Policy & Management P.O. Box 1738 3000 DR Rotterdam, NL Building/room J6-11

DOI:

https://doi.org/10.5334/ijic.1587

Keywords:

chronic obstructive pulmonary disease, disease management, health behaviour, quality of care, well-being

Abstract

Objective: This study was conducted to (1) identify improvements in care quality and well-being of patients with chronic obstructive pulmonary disease in the Netherlands and (2) investigate the longitudinal relationship between these factors.


Methods: This longitudinal study was conducted among patients diagnosed with chronic obstructive pulmonary disease enrolled in the Kennemer Lucht care programme in the Netherlands. Biomarker data (lung capacity) were collected at patients’ health care practices in 2012. Complete case analysis was conducted, and the multiple imputation technique allowed us to report pooled results from imputed datasets.


Results: Surveys were filled out by 548/1303 (42%) patients at T0 (2012) and 569/996 (57%) remaining participants at T1. Quality of care improved significantly (p < 0.05). Analyses adjusted for well-being at T0, age, educational level, marital status, gender, lung function and health behaviours showed that patients’ assessments of the quality of chronic care delivery at T0 (p < 0.01) and changes therein (p < 0.001) predicted patients’ well-being at T1.


Conclusion: These results clearly show that the quality of care and changes therein are important for the well-being of patients with chronic obstructive pulmonary disease in the primary care setting.


Practice implications: To improve quality of care for chronically ill patients, multicomponent interventions may be needed.

 

Author Biography

Jane Murray Cramm, institute of Health Policy and Management Erasmus University Rotterdam

Jane Murray Cramm Ph.D.
Erasmus University Rotterdam
Institute of Health Policy & Management
P.O. Box 1738
3000 DR Rotterdam, NL
Phone + 31 06 36109268
Fax   + 31 10 408 9094
Building/room J6-045

http://oldwww.bmg.eur.nl/personal/cramm/

Downloads

Published

2015-06-22

Issue

Section

Research & theory