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      The relationship between self-management abilities, quality of chronic care delivery, and wellbeing among patients with chronic obstructive pulmonary disease in The Netherlands

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          Abstract

          Background

          This cross-sectional study aimed to identify the relationship between quality of chronic care delivery, self-management abilities, and wellbeing among patients with chronic obstructive pulmonary disease (COPD).

          Methods

          The study was conducted in 2012 and included 548 (out of 1303; 42% response rate) patients with COPD enrolled in a COPD care program in the region of Noord-Kennemerland in The Netherlands. We employed a multilevel random-effects model (548 patients nested in 47 healthcare practices) to investigate the relationship between quality of chronic care delivery, self-management abilities, and patients’ wellbeing. In the multilevel analyses we controlled for patients’ background characteristics and health behaviors.

          Results

          Multilevel analyses clearly showed a significant relationship between quality of chronic care delivery and wellbeing of patients with COPD ( P ≤ 0.001). When self-management abilities were included in the equation while controlling for background characteristics, health behaviors, and quality of chronic care delivery, these abilities were found to have a strong positive relationship with patients’ wellbeing ( P ≤ 0.001). Low educational level, single marital status, and physical exercise were not significantly associated with wellbeing when self-management abilities were included in the equation.

          Conclusion

          Self-management abilities and the quality of chronic care delivery are important for the wellbeing of patients with COPD. Furthermore, self-management abilities acted as mediators between wellbeing and low educational level, single status, and physical exercise among these patients.

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          Most cited references 14

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          Dimensions Of Well-Being And Their Measurement: The Spf-Il Scale

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            How and why the motivation and skill to self-manage coronary heart disease are socially unequal

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              The influence of childhood poverty on the self-management of heart disease in later life

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                Author and article information

                Journal
                Int J Chron Obstruct Pulmon Dis
                Int J Chron Obstruct Pulmon Dis
                International Journal of COPD
                International Journal of Chronic Obstructive Pulmonary Disease
                Dove Medical Press
                1176-9106
                1178-2005
                2013
                2013
                26 April 2013
                : 8
                : 209-214
                Affiliations
                Erasmus University Rotterdam, Department of Health Policy and Management (iBMG), Rotterdam, The Netherlands
                Author notes
                Correspondence: Jane Murray Cramm, Erasmus University Rotterdam, Department of Health Policy and Management (iBMG), Burgemeester Oudlaan 50, 3062 PA Rotterdam, Netherlands Tel +31 10 408 9701 Fax +31 10 408 9094 Email cramm@ 123456bmg.eur.nl
                Article
                copd-8-209
                10.2147/COPD.S42667
                3639721
                23641152
                © 2013 Cramm and Nieboer, publisher and licensee Dove Medical Press Ltd

                This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.

                Categories
                Original Research

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