Applicability of the assessment of chronic illness care (ACIC) instrument in Germany resulting in a new questionnaire: Questionnaire of chronic illness care in primary care

Jost Steinhaeusr, Katja Goetz, Dominik Ose, Katharina Glassen, Iris Natanzon, Stephen Campbell, Joachim Szécsényi, Antje Miksch

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background

The Chronic Care Model (CCM) is an evidence based, population based approach to improve care for people with chronic conditions. The Assessment of Chronic Illness Care (ACIC) instrument is widely used to measure to what extent within a healthcare system the CCM is implemented. The aim of this study was to translate and culturally adapt the ACIC Instrument for the German healthcare system.

Methods

For translating the ACIC instrument, principles of Good Practice for the Translation and Cultural Adaptation Process by the ISPOR Task Force were followed. Focus groups were additionally conducted with general practitioners to adapt the items culturally.

Results

The ACIC instrument can not be used in the German healthcare system easily due to a multifaceted understanding of words, different levels of knowledge of the CCM and fundamental differences between health systems.

Conclusions

As following the CCM leads to benefits for patients with chronic illnesses, measuring to which extent it is implemented is of major interest. A new questionnaire using the CCM as its theoretical basis, sensitive to the healthcare systems of the host country has to be created. Knowledge transfer between countries by using an instrument from a different healthcare system can lead to a completely new questionnaire.
Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalBMC Health Services Research
Volume11
Issue number164
DOIs
Publication statusPublished - 2011
Externally publishedYes

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