Applicability of the assessment of chronic illness care (ACIC) instrument in Germany resulting in a new questionnaire: questionnaire of chronic illness care in primary care

Abstract

BackgroundThe Chronic Care Model (CCM) is an evidence based, population based approach to improve care for people with chronic conditions. The Assessment of Chronic Illness Care (ACIC) instrument is widely used to measure to what extent within a healthcare system the CCM is implemented. The aim of this study was to translate and culturally adapt the ACIC Instrument for the German healthcare system.MethodsFor translating the ACIC instrument, principles of Good Practice for the Translation and Cultural Adaptation Process by the ISPOR Task Force were followed. Focus groups were additionally conducted with general practitioners to adapt the items culturally.ResultsThe ACIC instrument can not be used in the German healthcare system easily due to a multifaceted understanding of words, different levels of knowledge of the CCM and fundamental differences between health systems.ConclusionsAs following the CCM leads to benefits for patients with chronic illnesses, measuring to which extent it is implemented is of major interest. A new questionnaire using the CCM as its theoretical basis, sensitive to the healthcare systems of the host country has to be created. Knowledge transfer between countries by using an instrument from a different healthcare system can lead to a completely new questionnaire.

Assessment of Chronic Illness Care (ACIC): avaliação da aplicabilidade e resultados

“…O ACIC tem o potencial de ser afetado pelo papel de uma pessoa, do trabalho, do local e da compreensão dos elementos do MCC (SOLBERG ET AL., 2006). Itens como a organização do sistema de saúde, o autocuidado e o desenho de prestação de serviço foram os de mais difícil entendimento (STEINHAEUSER ET AL., 2011).…”

Design and Delivery of a Tailored Intervention to Implement Recommendations for Multimorbid Patients Receiving Polypharmacy into Primary Care Practices

“…Therefore different care providers are able to alter medication regimens without communication with the general practitioner (GP) [ 6 ]. To date there is no established patient tracking system in Germany and physicians' awareness of the impact of such interface problems seems to be low [ 7 ].…”

Readiness to tackle chronicity in Spanish health care organisations: a two-year experience with the Instrumento de Evaluación de Modelos de Atención ante la Cronicidad/Assessment of Readiness for Chronicity in Health Care Organisations instrument

“…To measure progress within the Chronic Care Model, the Assessment of Chronic Illness Care [ 13 ] has been used in many settings, particularly in systems where multiple private insurers and providers play a greater role, and operate mainly in non-monopolistic delivery systems. Studies to measure the psychometric properties of Assessment of Chronic Illness Care have been performed in Germany [ 14 ], the Netherlands [ 15 ], Thailand [ 16 ] and the USA [ 17 ]. They have shown that Assessment of Chronic Illness Care has internal consistency and sensitivity.…”