Is Patient Activation Associated With Future Health Outcomes and Healthcare Utilization Among Patients With Diabetes?

被引：188

作者：

Remmers, Carol ^{[1
]}

Hibbard, Judith ^{[2
]}

Mosen, David M. ^{[3
]}

Wagenfield, Morton ^{[4
]}

Hoye, Robert E. ^{[5
]}

Jones, Ches ^{[6
]}

机构：

[1] Kaiser Permanente Util Care Data Anal, 1 Kaiser Plaza, Oakland, CA 94612 USA

[2] Univ Oregon, Dept Planning, Eugene, OR 97403 USA

[3] Kaiser Permanente Ctr Hlth Res, Portland, OR USA

[4] Western Michigan Univ, Dept Sociol, Kalamazoo, MI 49008 USA

[5] Univ Louisville, Coll Educ & Human Dev, Louisville, KY 40292 USA

[6] Univ Arkansas, Coll Educ & Hlth Profess, Hlth Sci Program, Fayetteville, AR 72701 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2009年 / 32卷 / 04期

关键词：

diabetes; patient activation measure; quality of care;

D O I：

10.1097/JAC.0b013e3181ba6e77

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 relationship between the patient activation measure (PAM) and future diabetes-related health outcomes through retrospective analysis of secondary data using multivariate logistic regression. PAM scores from a 2004 survey on 1180 randomly sampled adults with diabetes and health information from a 2006 diabetes registry were the data sources used. The PAM was predictive for hemoglobin A(1c) (HgA(1c)) testing (P < .008), low-density lipoprotein cholesterol (LDL-C) testing (P < .005), HgA(1c) control (P < .01), and all-cause discharges (P < .03), but not for lipid-lowering drug use, LDL-C control, or acute myocardial infarction discharges. These results suggest that PAM scores can be used to identify patients at risk for poorer health outcomes.

引用

页码：320 / 327

页数：8

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