When Patient Activation Levels Change, Health Outcomes And Costs Change, Too

被引:404
作者
Greene, Jessica [1 ]
Hibbard, Judith H. [2 ]
Sacks, Rebecca [1 ]
Overton, Valerie [3 ]
Parrotta, Carmen D. [4 ]
机构
[1] George Washington Univ, Sch Nursing, Washington, DC 20052 USA
[2] Univ Oregon, Hlth Policy Res Grp ISE, Eugene, OR 97403 USA
[3] Fairview Med Grp, Qual & Innovat, Minneapolis, MN USA
[4] Fairview Med Grp, Minneapolis, MN USA
关键词
SELF-MANAGEMENT; CARE UTILIZATION; MEASURE PAM; INTERVENTION; EXPERIENCES; PROGRAM;
D O I
10.1377/hlthaff.2014.0452
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
Patient engagement has become a major focus of health reform. However, there is limited evidence showing that increases in patient engagement are associated with improved health outcomes or lower costs. We examined the extent to which a single assessment of engagement, the Patient Activation Measure, was associated with health outcomes and costs over time, and whether changes in assessed activation were related to expected changes in outcomes and costs. We used data on adult primary care patients from a single large health care system where the Patient Activation Measure is routinely used. We found that results indicating higher activation in 2010 were associated with nine out of thirteen better health outcomes-including better clinical indicators, more healthy behaviors, and greater use of women's preventive screening tests-as well as with lower costs two years later. Changes in activation level were associated with changes in over half of the health outcomes examined, as well as costs, in the expected directions. These findings suggest that efforts to increase patient activation may help achieve key goals of health reform and that further research is warranted to examine whether the observed associations are causal.
引用
收藏
页码:431 / 437
页数:7
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