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Seen through the patients’ eyes : safety of chronic illness care

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Abstract
Due to the increasing burden of chronic diseases, a considerable part of care delivery will continue to shift from secondary to primary care, and home care settings. Despite the growing importance of primary care, concerns about the safety of patients in hospitals have thus far driven most research in the field. Therefore, the present study sought to explore patients' perceptions and experiences of the safety of primary chronic care. An observational, cross-sectional study design was applied. Participants were recruited from the Flemish Patients' Platform, an independent organization that defends patients' rights and strives for more care quality. An online questionnaire was designed to assess: socio-demographic characteristics, medical consumption and patients' perspectives of the quality and safety of chronic care. Respondents (n = 339) had positive perceptions of the safety of primary chronic care as they indicated to receive safe care at home (68.1%), receive enough care support at home (70.8%) and experience good communication between their healthcare professionals (51.6%). Almost one quarter of respondents experienced an incident, mainly related to self-reported fall incidents (50.4%), wrong diagnoses or treatments (37.8%) and adverse drug events (11.8%). Also, more than half of respondents who experienced an incident (64.9%) indicated that poor communication between their healthcare professionals was the main cause. Information on patients' experiences is critical to identify patient safety incidents and to ultimately reduce patient harm. More research is needed to fully understand patient safety in primary chronic care to further improve patient safety.
Keywords
chronic care, patient safety, quality of care, quality improvement, patient preference, RANDOMIZED CONTROLLED-TRIAL, MULTIPLE CHRONIC CONDITIONS, HEALTH-CARE, OLDER PERSONS, GUIDED CARE, QUALITY, RECOMMENDATIONS, VALIDATION, OUTCOMES

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Citation

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MLA
Desmedt, Melissa et al. “Seen Through the Patients’ Eyes : Safety of Chronic Illness Care.” INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE 29.7 (2017): 916–921. Print.
APA
Desmedt, M., Petrovic, M., Bergs, J., Vandijck, D., Vrijhoef, H., Hellings, J., Vermeir, P., et al. (2017). Seen through the patients’ eyes : safety of chronic illness care. INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 29(7), 916–921.
Chicago author-date
Desmedt, Melissa, Mirko Petrovic, Jochen Bergs, Dominique Vandijck, Hubertus Vrijhoef, Johan Hellings, Peter Vermeir, Lieselot Cool, and Ezra Dessers. 2017. “Seen Through the Patients’ Eyes : Safety of Chronic Illness Care.” International Journal for Quality in Health Care 29 (7): 916–921.
Chicago author-date (all authors)
Desmedt, Melissa, Mirko Petrovic, Jochen Bergs, Dominique Vandijck, Hubertus Vrijhoef, Johan Hellings, Peter Vermeir, Lieselot Cool, and Ezra Dessers. 2017. “Seen Through the Patients’ Eyes : Safety of Chronic Illness Care.” International Journal for Quality in Health Care 29 (7): 916–921.
Vancouver
1.
Desmedt M, Petrovic M, Bergs J, Vandijck D, Vrijhoef H, Hellings J, et al. Seen through the patients’ eyes : safety of chronic illness care. INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE. 2017;29(7):916–21.
IEEE
[1]
M. Desmedt et al., “Seen through the patients’ eyes : safety of chronic illness care,” INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, vol. 29, no. 7, pp. 916–921, 2017.
@article{8535805,
  abstract     = {Due to the increasing burden of chronic diseases, a considerable part of care delivery will continue to shift from secondary to primary care, and home care settings. Despite the growing importance of primary care, concerns about the safety of patients in hospitals have thus far driven most research in the field. Therefore, the present study sought to explore patients' perceptions and experiences of the safety of primary chronic care. 
An observational, cross-sectional study design was applied. 
Participants were recruited from the Flemish Patients' Platform, an independent organization that defends patients' rights and strives for more care quality. 
An online questionnaire was designed to assess: socio-demographic characteristics, medical consumption and patients' perspectives of the quality and safety of chronic care. 
Respondents (n = 339) had positive perceptions of the safety of primary chronic care as they indicated to receive safe care at home (68.1%), receive enough care support at home (70.8%) and experience good communication between their healthcare professionals (51.6%). Almost one quarter of respondents experienced an incident, mainly related to self-reported fall incidents (50.4%), wrong diagnoses or treatments (37.8%) and adverse drug events (11.8%). Also, more than half of respondents who experienced an incident (64.9%) indicated that poor communication between their healthcare professionals was the main cause. 
Information on patients' experiences is critical to identify patient safety incidents and to ultimately reduce patient harm. More research is needed to fully understand patient safety in primary chronic care to further improve patient safety.},
  author       = {Desmedt, Melissa and Petrovic, Mirko and Bergs, Jochen and Vandijck, Dominique and Vrijhoef, Hubertus and Hellings, Johan and Vermeir, Peter and Cool, Lieselot and Dessers, Ezra},
  issn         = {1353-4505},
  journal      = {INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE},
  keywords     = {chronic care,patient safety,quality of care,quality improvement,patient preference,RANDOMIZED CONTROLLED-TRIAL,MULTIPLE CHRONIC CONDITIONS,HEALTH-CARE,OLDER PERSONS,GUIDED CARE,QUALITY,RECOMMENDATIONS,VALIDATION,OUTCOMES},
  language     = {eng},
  number       = {7},
  pages        = {916--921},
  title        = {Seen through the patients’ eyes : safety of chronic illness care},
  url          = {http://dx.doi.org/10.1093/intqhc/mzx137},
  volume       = {29},
  year         = {2017},
}

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