Patient-Assessed Chronic Illness Care (PACIC) scenario in an Indian homeopathic hospital

10.1016/j.jtcme.2014.11.020

Munmun Koley；Subhranil Saha；Shubhamoy Ghosh；Goutam Nag；Monojit Kundu；Ramkumar Mondal；Rajib Purkait；Supratim Patra；Seikh Swaif Ali

chronic care model ； chronic illness care ； disease management ； homeopathy ； India

Journal of Traditional and Complementary Medicine

6卷1期（2016 / 01 / 01）

48 - 53

英文

Homeopathy research has focused on chronic conditions; however, the extent to which current homeopathic care is compliant with the Chronic Care Model (CCM) has been sparsely shown. As the Bengali Patient-Assessed Chronic Illness Care (PACIC)-20 was not available, the English questionnaire was translated and evaluated in a government homeopathic hospital in West Bengal, India. The translation was done in six steps, and approved by an expert committee. Face validity was tested by 15 people for comprehension. Test/retest reliability (reproducibility) was tested on 30 patients with chronic conditions. Internal consistency was tested in 377 patients suffering from various chronic conditions. The questionnaire showed acceptable test/retest reliability [intraclass correlation coefficient (ICC) 0.57-0.75; positive to strong positive correlations; p ＜ 0.0001] for all domains and the total score, strong internal consistency (Cronbach's α= 0.86 overall and 0.65-0.82 for individual subscales), and large responsiveness (1.11). The overall mean score percentage seemed to be moderate at 69.5 ± 8.8%. Gender and presence of chronic conditions did not seem to vary significantly with PACIC-20 subscale scores (p ＞ 0.05); however, monthly household income had a significant influence (p ＜ 0.05) on the subscales except for ＂delivery system or practice design.＂ Overall, chronic illness care appeared to be quite promising and CCM-compliant. The psychometric properties of the Bengali PACIC-20 were satisfactory, rendering it a valid and reliable instrument for assessing chronic illness care among the patients attending a homeopathic hospital.

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