Format

Send to

Choose Destination
Healthc Policy. 2011 May;6(4):e89-e105.

Are primary healthcare organizational attributes associated with patient self-efficacy for managing chronic disease?

Author information

1
Université de Montréal, Montreal, QC.

Abstract

Our objective was to explore how individual and primary healthcare (PHC) organizational attributes influence patients' ability in chronic illness self-management. We conducted a cohort study, recruiting 776 adults with chronic disease from 33 PHC settings in the province of Quebec. Organizational data on the PHC clinics were obtained from a prior study. Participants were interviewed at baseline, 6 and 12 months, responding to questionnaires on self-efficacy, health status, socio-demographics, healthcare use and experience of care. Multilevel modelling showed that 52.5% of the variance in self-efficacy occurs at the level of the individual and 4.0% at the organizational level. Controlling for diagnosis, patient factors associated with self-efficacy were self-rated health (B coeff 0.76: CI 0.60; 0.92), concurrent depression (B coeff -1.41: CI 1.96; -0.86) and satisfaction with care (B coeff 0.27: CI 0.15; 0.39). None of the organizational attributes was significantly associated with self-efficacy after adjusting for lower-level variables. Patients generally reported receiving little self-management teaching across organizations.

PMID:
22548102
PMCID:
PMC3107121

Supplemental Content

Full text links

Icon for Longwoods Publishing Icon for PubMed Central
Loading ...
Support Center