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Is Patient Activation associated with better
Outcomes for Persons with Diabetes?
Source: Care Management Institute, Kaiser Permanente. Department of Planning, Public Policy & Management, University of Oregon. Fall 2004
Objective: This study was initiated to better understand how the Patient Activation measure (PAM) associates with both cross-cutting outcome measures such as the use of self-management services and the performance of self-management behaviors, and with disease-specific outcome measures for diabetes, including medication compliance and the use of hospital or ED services.
Study Population: This study examined survey and administrative (e.g. claim) data for 1075 diabetics enrolled in a staff model HMO. Performance of self-management behaviors and medication adherence were both assessed using valid and reliable subscales. ED utilization was measured via an electronic medical record during calendar year 2004.
Key Findings:
- After adjusting for demographic factors, functional status, and geographic location, they study found that higher patient activation was associated with higher performance of self-management behaviors (OR = 4.85, 95% CI = 3.66 - 6.43), higher medication adherence (OR = 3.11, 95% CI = 1.42 – 6.83), and lower ED utilization (OR = 0.68, 95% CI = 0.49 – 0.93
- High activation Diabetics were less likely to miss a medication, more likely to perform self-management behaviors, and less likely to use the ER
Is Patient Activation
associated with better Outcomes for Persons with Persistent
Asthma?
Source: Care Management Institute, Kaiser Permanente. Department of Planning, Public Policy & Management, University of Oregon. Fall 2004
Objectives: This study was initiated to better understand how the Patient Activation measure (PAM) associates with both cross-cutting outcome measures such as the use of self-management services and the performance of self-management behaviors, and with disease-specific outcome measures for asthma, including medication compliance and the use of hospital or ED services.
Study Population: This study examined survey and administrative data for 571 persistent asthmatics enrolled in a staff model HMO. Performance of self-management behaviors and medication adherence were both assessed using valid and reliable subscales. ER utilization was measured via an electronic medical record during calendar year 2004.
Key Findings:
- After adjusting for demographic factors, functional status, and geographic location, higher patient activation was associated with higher performance of self-management behaviors (OR = 4.12, 95% CI = 2.74 - 6.35) and higher overall medication adherence (OR = 1.52, 95% CI = 1.03 – 2.23)
- High activation Asthmatics were less likely to miss a medication, more likely to perform self-management behaviors, and directionally less likely to use the ER
Is Patient Activation associated with better health outcomes for Adults with Cardiovascular disease?
Source: Care Management Institute, Kaiser Permanente. Department of Planning, Public Policy & Management, University of Oregon. Fall 2004
Study Design: This study examined survey and administrative data for 2,206 adults with cardiovascular disease enrolled in a staff model HMO. Performance of self-management behaviors, medication adherence, patient satisfaction and QOL were assessed using valid subscales. Logistic Regression was used to examine the independent association of patient activation on high performance of self-management behaviors (vs. Low performance), high medication adherence (vs. low adherence), high patient satisfaction (vs. low patient satisfaction) and high QOL (vs. low QOL) after adjusting for demographic characteristics, functional health status and geographic location.
Key Findings
- Higher patient activation was independently associated with higher performance of self management behaviors (OR = 3.86, 95% CI = 3.10 - 4.80), higher medication adherence (OR = 1.37, 95% CI = 1.02 - 1.85), higher patient satisfaction (OR = 2.29, 95% CI = 1.88 - 2.80) and higher QOL (OR = 1.67, 95% CI = 1.31 - 2.13).
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