Evaluation of patient with chronic disease using patient assessment of chronic illness care questionnaire (pacic) in riyadh ksa

Background: Chronic disease is a major health problem in Saudi Arabia necessitating continues highly cost treatment and follows up. This study was carried out with the main aim of evaluating patient’s perspective on receipt healthcareusing Patient Assessment of Chronic Illness Care questionnaire (PACIC).

Methods: This cross sectional study was carried out in the Chronic Disease Center (CDC) between December 2014 and January 2015. It used a validated version of PACIC questionnaire which depended on Chronic Care Model. The model consisted of five subclasses namely, patient activation, delivery system design and decision support, goal setting and tailoring, problem-solving and contextual counselling, follow-up and coordination. This is the first study to use the PACIC instrument in the Kingdom of Saudi Arabia. Four hundred and sixty eight patients were selected using systematic sampling method. Data was analyzed with SPSS version 20 for windows. Percentages and frequencies were calculated and association between socio-demographic characteristics and PACIC score was determined.

Results: Our results showed that 186 or 40.26 of the participants severed from diabetes mellitus while 114 or 24.68 were affected by hypertension. Study participants were mostly male (286 or 61.9%) with 42% aged above 42 years old and one third or 36% had university education. Socio-demographic characteristics were not associated with PACIC score. Some PACIC subscale such as patient’s activations, problem solving, follow up and co-ordination were highly correlated with patient’s educational level p< 0.03, p < 0.01 and P < 0.04 respectively.

Conclusion: The Patient Assessment of Chronic Illness Care questionnaire (PACIC) demonstrated an excellent tool for evaluating patients perspective on received healthcare. A more prospective study on developing an Arabic version of this instrument and determining its reliability and validity will significantly improve the management of patients with chronic disease in Kingdom of Saudi Arabia.