Are Primary Healthcare Organizational Attributes Associated with Patient Self-Efficacy for Managing Chronic Disease? Les caractéristiques organisationnelles des établissements de première ligne sont-elles associées aux autosoins chez les patients atteints de maladies chroniques?

Our objective was to explore how individual and primary healthcare (PHC) organizational attributes influence patients’ ability in chronic illness self-management. We conducted a cohort study, recruiting 776 adults with chronic disease from 33 PHC settings in the province of quebec. Organizational data on the PHC clinics were obtained from a prior study. Participants were interviewed at baseline, 6 and 12 months, responding to questionnaires on self-efficacy, health status, socio-demographics, healthcare use and experience of care. multilevel modelling showed that 52.5% of the variance in self-efficacy occurs at the level of online exclusive