What The Evidence Shows About Patient Activation: Better Health Outcomes And Care Experiences; Fewer Data On Costs

Health Affairs (Impact Factor: 4.97). 02/2013; 32(2):207-14. DOI: 10.1377/hlthaff.2012.1061
Source: PubMed


Patient engagement is an increasingly important component of strategies to reform health care. In this article we review the available evidence of the contribution that patient activation-the skills and confidence that equip patients to become actively engaged in their health care-makes to health outcomes, costs, and patient experience. There is a growing body of evidence showing that patients who are more activated have better health outcomes and care experiences, but there is limited evidence to date about the impact on costs. Emerging evidence indicates that interventions that tailor support to the individual's level of activation, and that build skills and confidence, are effective in increasing patient activation. Furthermore, patients who start at the lowest activation levels tend to increase the most. We conclude that policies and interventions aimed at strengthening patients' role in managing their health care can contribute to improved outcomes and that patient activation can-and should-be measured as an intermediate outcome of care that is linked to improved outcomes.

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Available from: Judith Hibbard
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    • "Patients with low activation are less motivated, more passive regarding self-management, and more likely to experience negative emotions. [3] [14] High levels of patient activation have been significantly correlated with improved health indicators, [15] health-seeking behaviors, [15] improved self-management behaviors , [3] [12] and reduced use of health care resources. [15] [16] Methods demonstrated to improve patient activation include increasing the quantity and quality of time spent with the health care provider [17] and use of a tailored approach during self-management education. "

    Preview · Article · Jan 2016
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    • "Strengthening patient activation is a growing area of research in long-term and chronic conditions [1] [3] [4]. Evidence increasingly demonstrates that patient activation, as measured by the Patient Activation Measure-13 (PAM-13) developed by Hibbard et al. [5], may contribute to improved self-management [6], higher engagement in treatment [1] [6], greater patient satisfaction [5] [7], and better health outcomes in patients with chronic conditions [1] [4] [8]. "
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    ABSTRACT: While there is growing interest in improving patient activation in general medical health services, there are too few randomized controlled trials in mental health settings which show how improvement can be achieved. Using the Patient Activation Measure-13 (PAM-13), we aimed to assess the effect of pre-treatment, peer co-led educational intervention on patient activation. Secondary outcomes included measures of patient satisfaction, well-being, mental health symptoms, motivation, and treatment participation.
    Full-text · Article · Dec 2015 · Patient Education and Counseling
    • "" [3] To increase engagement and allow patients to more fully participate in their healthcare, they need access to their clinical data. Providing patients with their clinical data is associated with increased satisfaction, improved patient knowledge, control and self-care, and may result in better health outcomes.[4] [5] [6] How to best provide patients with access to their clinical data is unknown, particularly as diverse patient populations in various geographical locations may have different needs and capabilities. "
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    ABSTRACT: Objective: Engaging patients in their care has become a topic of increasing importance, and enabling patients to have access to their clinical data is a key aspect of such engagement. We investigated, on an international scale, the current state of approaches for providing patients with access to their own clinical information. Methods: Individuals from 28 countries were invited to participate in a cross-sectional semi-structured interview. Interview questions focused on social and cultural influences that affected patient engagement activities, government support for current and planned initiatives, data ownership models, and technical issues. Results: Interviews were conducted with individuals from 16 countries representing six continents. Respondents reported substantive initiatives for providing information to patients in the majority of countries interviewed. These initiatives were diverse in nature and stage of implementation. Discussion: Enabling patient access to data is occurring on an international scale. There is considerable variability in the level of maturity, the degree of government involvement, the technical infrastructure, and the plans for future development across the world. As informaticians, we are still in the early stages of deploying patient engagement technologies and have yet to identify optimal strategies in this arena. Conclusion: Efforts to improve patient access to data are active on a global-scale. There are many open questions about best practices and much can be learned by adopting an international perspective to guide future implementation efforts.
    No preview · Article · Nov 2015 · International Journal of Medical Informatics
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