Journal ArticleDOI
Patients With Lower Activation Associated With Higher Costs; Delivery Systems Should Know Their Patients’ ‘Scores’
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TLDR
In an analysis of 33,163 patients of Fairview Health Services, a large health care delivery system in Minnesota, it was found that patients with the lowest activation levels had predicted average costs that were 8 percent higher in the base year and 21 percentHigher in the first half of the next year than the costs of Patients with the highest activation levels, both significant differences.Abstract:
Patient activation is a term that describes the skills and confidence that equip patients to become actively engaged in their health care. Health care delivery systems are turning to patient activation as yet another tool to help them and their patients improve outcomes and influence costs. In this article we examine the relationship between patient activation levels and billed care costs. In an analysis of 33,163 patients of Fairview Health Services, a large health care delivery system in Minnesota, we found that patients with the lowest activation levels had predicted average costs that were 8 percent higher in the base year and 21 percent higher in the first half of the next year than the costs of patients with the highest activation levels, both significant differences. What’s more, patient activation was a significant predictor of cost even after adjustment for a commonly used “risk score” specifically designed to predict future costs. As health care delivery systems move toward assuming greater acco...read more
Citations
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Journal ArticleDOI
What The Evidence Shows About Patient Activation: Better Health Outcomes And Care Experiences; Fewer Data On Costs
Judith H. Hibbard,Jessica Greene +1 more
TL;DR: It is concluded 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 toImproved outcomes.
Journal ArticleDOI
When Patient Activation Levels Change, Health Outcomes And Costs Change, Too
TL;DR: It is 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.
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Guidance for the practical management of the direct oral anticoagulants (DOACs) in VTE treatment.
TL;DR: Clinical guidance for VTE treatment with the direct oral anticoagulants is provided with the intent of high utility and applicability for frontline clinicians across a multitude of care settings.
Journal ArticleDOI
Patient engagement in the inpatient setting: a systematic review
Jennifer E. Prey,Janet Woollen,Lauren Wilcox,Alexander D. Sackeim,George Hripcsak,Suzanne Bakken,Susan Restaino,Steven Feiner,David K. Vawdrey +8 more
TL;DR: Examination of the current literature shows there are considerable gaps in knowledge regarding patient engagement in the hospital setting and inconsistent use of terminology regarding patientagement overall.
Journal ArticleDOI
Population-Based Assessment of Cancer Survivors' Financial Burden and Quality of Life: A Prospective Cohort Study
S. Yousuf Zafar,Rebecca B. McNeil,Catherine M. Thomas,Christopher S. Lathan,John Z. Ayanian,Dawn Provenzale +5 more
TL;DR: Financial burden is prevalent among cancer survivors and is related to patients' health-related quality of life and future studies should consider interventions to improve patient education and engagement with regard to financial burden.
References
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Journal ArticleDOI
Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers
TL;DR: The Patient Activation Measure is a valid, highly reliable, unidimensional, probabilistic Guttman-like scale that reflects a developmental model of activation that has good psychometric properties indicating that it can be used at the individual patient level to tailor intervention and assess changes.
Journal ArticleDOI
Development and testing of a short form of the patient activation measure.
TL;DR: The results of the analysis indicate that the shortened 13-item version of the Patient Activation Measure is both reliable and valid.
Journal ArticleDOI
Do increases in patient activation result in improved self-management behaviors?
TL;DR: Results suggest that if activation is increased, a variety of improved behaviors will follow, and the question still remains, however, as to what interventions will improve activation.
Journal ArticleDOI
Why Does Patient Activation Matter? An Examination of the Relationships Between Patient Activation and Health-Related Outcomes
Jessica Greene,Judith H. Hibbard +1 more
TL;DR: This cross sectional study finds that patient activation is strongly related to a broad range of health-related outcomes, which suggests improving activation has great potential.
Journal ArticleDOI
Methods for analyzing health care utilization and costs
TL;DR: This paper discusses sources of information, the statistical properties of utilization data, common analytic methods including the two-part model, and some newly available statistical methodsincluding the generalized linear model.
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