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. 2018 Oct 29;5(4):256–266. doi: 10.17294/2330-0698.1635

Table 3.

Patient Assessment of Chronic Illness Care (PACIC) Items

My health care team members at this practice...
  1. Showed me how what I did to take care of myself influenced my chronic condition(s).

  2. Asked to talk about my goals in caring for my condition(s).

  3. Helped me set specific goals to improve my eating or exercise.

  4. Gave me a copy of my treatment plan.

  5. Encouraged me to go to a specific group or class to help me cope with my chronic condition.

  6. Asked me questions, either directly or on a survey, about my health habits.

  7. Thought about my values, beliefs, and traditions when he/she recommended treatments to me.

  8. Helped me make a treatment plan that I could carry out in my daily life.

  9. Helped me plan ahead so I could take care of my condition(s) or myself even in hard times.

    (Participants recorded responses on a 5-point Likert scale ranging from “none of the time” to “always.”)

CDC Healthy Days Core Module question:
Would you say that in general your health is: Excellent (1), Very Good (2), Good (3), Fair (4), or Poor (5)?

CDC, Centers for Disease Control and Prevention.