Is Patient Activation Associated With Outcomes of Care for Adults With Chronic Conditions?

被引:383
作者
Mosen, David M. [1 ]
Schmittdiel, Julie [2 ]
Hibbard, Judith [3 ]
Sobel, David [4 ]
Remmers, Carol [5 ]
Bellows, Jim [5 ]
机构
[1] Kaiser Permanente Ctr Hlth Res, 3800 N Interstate Ave, Portland, OR 97227 USA
[2] Kaiser Permanente Div Res, Oakland, CA USA
[3] Univ Oregon, Dept Planning Publ Policy & Management, Eugene, OR 97403 USA
[4] Kaiser Permanente Northern Calif Reg Hlth Educ, Oakland, CA USA
[5] Kaiser Permanente Care Management Inst, Oakland, CA USA
关键词
chronic conditions; Patient Activation Measure; quality of care;
D O I
10.1097/00004479-200701000-00005
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We examined the patient activation measure's (PAM's) association with process and health outcomes among adults with chronic conditions. Patients with high PAM scores were significantly more likely to perform self-management behaviors, use self-management services, and report high medication adherence, compared to patients with the lowest PAM scores. This population was 10 times more likely to report high patient-satisfaction scores, 5 times more likely to report high quality-of-life scores, and reported significantly higher physical and mental functional status scores, compared to those with the lowest scores. These results suggest that PAM scores are associated with key process and health outcome measures.
引用
收藏
页码:21 / 29
页数:9
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