Person-Centered Coordinated Care Experience of People With Long-Term Conditions

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1. Verfasser: Mercadal-Orfila, Gabriel, Herrera-Pérez, Salvador, Piqué, Núria, Mateu-Amengual, Francesc, Ventayol-Bosch, Pedro, Maestre-Fullana, Maria Antonia, Serrano-López de Las Hazas, Joaquin Ignacio, Fernández-Cortés, Francisco, Barceló-Sansó, Francesc, Rios, Santiago
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author Mercadal-Orfila, Gabriel, Herrera-Pérez, Salvador, Piqué, Núria, Mateu-Amengual, Francesc, Ventayol-Bosch, Pedro, Maestre-Fullana, Maria Antonia, Serrano-López de Las Hazas, Joaquin Ignacio, Fernández-Cortés, Francisco, Barceló-Sansó, Francesc, Rios, Santiago
author_facet Mercadal-Orfila, Gabriel, Herrera-Pérez, Salvador, Piqué, Núria, Mateu-Amengual, Francesc, Ventayol-Bosch, Pedro, Maestre-Fullana, Maria Antonia, Serrano-López de Las Hazas, Joaquin Ignacio, Fernández-Cortés, Francisco, Barceló-Sansó, Francesc, Rios, Santiago
contents <p>OBJECTIVE: This study aimed to use the Person-Centered Coordinated Care <br>Experience Questionnaire (P3CEQ) to assess the experience of person-centered <br>coordinated care among people with long-term conditions in the Balearic Islands, <br>Spain.<br>METHODS: Over 1300 participants receiving treatment for chronic conditions or <br>HIV pre-exposure prophylaxis were invited to complete the P3CEQ and a <br>socio-demographic questionnaire, both administered electronically via the Naveta <br>app. The P3CEQ assesses the key domains of the P3C through an 11-item <br>questionnaire. Items 1, 2, 3, 4, 5, 8, 9 and 10 assess specifically <br>person-centredness (PC subscale), while items 5, 6, 7, 8 and 9 measure care <br>coordination (CC subscale; question 7 includes 4 sub-questions to specifically <br>assess care plans). Descriptive statistics were used to summarize patient <br>characteristics and P3CEQ items scores. Data analysis included chi-squared test <br>of independence, Student's t-test and analysis of variance test. Pairwise <br>comparisons were adjusted by Bonferroni correction.<br>RESULTS: The P3CEQ and a socio-demographic questionnaire were sent to 1313 <br>individuals (651 men, 657 women, 5 'other gender'). A response rate of 35.34% <br>was achieved, with 464 P3CEQ responders (223 men and 241 women). Significant <br>differences in response rates were observed by age, smoking status, alcohol <br>consumption, membership of patient organizations, and use of alternative <br>medicine. Care planning was rated significantly lower than other measured <br>domains. Women experienced less person-centered care than men (16.64 vs 17.91) <br>and rated care coordination worse than their male counterparts (9.18 vs 10.23). <br>There were also differences in scores between medical condition types, with <br>cancer and inflammatory bowel disease patients rating highest for both <br>person-centered care (21.20 and 19.13, respectively) and care coordination <br>(10.70 vs 10.88, respectively). Patients with skin and rheumatic diseases rated <br>lowest their experience of person-centered care. People with higher education <br>and those employed or studying experienced better person-centeredness.<br>CONCLUSION: Using the P3CEQ, we detected significant differences in the care <br>experiences of people with chronic conditions, suggesting the need to address <br>potential gender biases, social inequalities, and the poorer ratings observed <br>for certain conditions in the study population.</p>
format Recurso digital
id zenodo_https___doi_org_10_1177_11786329241258856
institution Zenodo
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publishDate 2025
publisher Zenodo
record_format zenodo
spellingShingle Person-Centered Coordinated Care Experience of People With Long-Term Conditions
Mercadal-Orfila, Gabriel, Herrera-Pérez, Salvador, Piqué, Núria, Mateu-Amengual, Francesc, Ventayol-Bosch, Pedro, Maestre-Fullana, Maria Antonia, Serrano-López de Las Hazas, Joaquin Ignacio, Fernández-Cortés, Francisco, Barceló-Sansó, Francesc, Rios, Santiago
PubMed
publicaciones
ciencia
<p>OBJECTIVE: This study aimed to use the Person-Centered Coordinated Care <br>Experience Questionnaire (P3CEQ) to assess the experience of person-centered <br>coordinated care among people with long-term conditions in the Balearic Islands, <br>Spain.<br>METHODS: Over 1300 participants receiving treatment for chronic conditions or <br>HIV pre-exposure prophylaxis were invited to complete the P3CEQ and a <br>socio-demographic questionnaire, both administered electronically via the Naveta <br>app. The P3CEQ assesses the key domains of the P3C through an 11-item <br>questionnaire. Items 1, 2, 3, 4, 5, 8, 9 and 10 assess specifically <br>person-centredness (PC subscale), while items 5, 6, 7, 8 and 9 measure care <br>coordination (CC subscale; question 7 includes 4 sub-questions to specifically <br>assess care plans). Descriptive statistics were used to summarize patient <br>characteristics and P3CEQ items scores. Data analysis included chi-squared test <br>of independence, Student's t-test and analysis of variance test. Pairwise <br>comparisons were adjusted by Bonferroni correction.<br>RESULTS: The P3CEQ and a socio-demographic questionnaire were sent to 1313 <br>individuals (651 men, 657 women, 5 'other gender'). A response rate of 35.34% <br>was achieved, with 464 P3CEQ responders (223 men and 241 women). Significant <br>differences in response rates were observed by age, smoking status, alcohol <br>consumption, membership of patient organizations, and use of alternative <br>medicine. Care planning was rated significantly lower than other measured <br>domains. Women experienced less person-centered care than men (16.64 vs 17.91) <br>and rated care coordination worse than their male counterparts (9.18 vs 10.23). <br>There were also differences in scores between medical condition types, with <br>cancer and inflammatory bowel disease patients rating highest for both <br>person-centered care (21.20 and 19.13, respectively) and care coordination <br>(10.70 vs 10.88, respectively). Patients with skin and rheumatic diseases rated <br>lowest their experience of person-centered care. People with higher education <br>and those employed or studying experienced better person-centeredness.<br>CONCLUSION: Using the P3CEQ, we detected significant differences in the care <br>experiences of people with chronic conditions, suggesting the need to address <br>potential gender biases, social inequalities, and the poorer ratings observed <br>for certain conditions in the study population.</p>
title Person-Centered Coordinated Care Experience of People With Long-Term Conditions
topic PubMed
publicaciones
ciencia
url https://doi.org/10.1177/11786329241258856