Cross-sectional study evaluating the association between integrated care and health-related quality of life (HRQOL) in Dutch primary care.

摘要: Objectives The aim of this study was to evaluate the association between integrated care and health-related quality life (HRQOL) in a primary practice population. Design A cross-sectional survey study. Setting Primary Participants sample (n=5562) patients two general practitioner practices Netherlands. outcome measures Rainbow Model Integrated Care Measurement Tool patient version EQ-5D used assess service delivery HRQOL. HRQOL groups analysed using multivariate logistic regression. Results Overall, 933 respondents with mean age 62 participated (20% response rate) analysis revealed that positive organisational coordination experiences were linked better (OR=1.87, 95% CI 1.18 2.95), less anxiety depression problems (OR=0.36, 0.20 0.63). Unemployment associated poor (OR=0.15, 0.08 0.28). Ageing more mobility (OR=1.06, 1.04 1.09), self-care 1.02 1.11), usual activity (OR=1.03, 1.01 1.05) pain (OR=1.02, 1.04). Being married improved overall (OR=1.60, 1.13 2.26) decreased (OR=0.47, 0.31 0.72). Finally, females had (OR=1.67, 0.48 0.93) discomfort (OR=1.47, 1.11 1.95). Conclusion This shows for first time activities are positively HROQL adult context, adding evidence an Also, unemployment, ageing being female accumulating risk factors should be considered when designing programmes. Further research is needed explore how various integration types relate people local communities.