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
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TLDR
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.Abstract:
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 measur...read more
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2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Paulus Kirchhof,Stefano Benussi,Dipak Kotecha,Anders Ahlsson,Dan Atar,Barbara Casadei,Manuel Castellá,Hans-Christoph Diener,Hein Heidbuchel,Jeroen M.L. Hendriks,Gerhard Hindricks,Antonis S. Manolis,Jonas Oldgren,Bogdan A. Popescu,Ulrich Schotten,Bart P. Van Putte,Panagiotis Vardas,Stefan Agewall,John Camm,Gonzalo Barón Esquivias,Werner Budts,Scipione Carerj,Filip Casselman,Antonio Coca,Raffaele De Caterina,Spiridon Deftereos,Dobromir Dobrev,José M. Ferro,Gerasimos Filippatos,Donna Fitzsimons,Bulent Gorenek,Maxine Guenoun,Stefan H. Hohnloser,Philippe Kolh,Gregory Y.H. Lip,Athanasios J. Manolis,John J.V. McMurray,Piotr Ponikowski,Raphael Rosenhek,Frank Ruschitzka,Irina Savelieva,Sanjay Sharma,Piotr Suwalski,Juan Tamargo,Clare J Taylor,Isabelle C. Van Gelder,Adriaan A. Voors,Stephan Windecker,José Luis Zamorano,Katja Zeppenfeld +49 more
TL;DR: The Task Force for the management of atrial fibrillation of the European Society of Cardiology has been endorsed by the European Stroke Organisation (ESO).
Journal ArticleDOI
Decision aids for people facing health treatment or screening decisions
Dawn Stacey,Dawn Stacey,Krystina B. Lewis,Michael J. Barry,Carol Bennett,Karen Eden,Margaret Holmes-Rovner,Hilary A. Llewellyn-Thomas,Anne Lyddiatt,Richard Thomson,Lyndal Trevena +10 more
TL;DR: Decision aids reduced the proportion of undecided participants and appeared to have a positive effect on patient-clinician communication, and those exposed to a decision aid were either equally or more satisfied with their decision, the decision-making process, and the preparation for decision making compared to usual care.
Journal ArticleDOI
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS: The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC). Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Endorsed by the European Stroke Organisation (ESO)
Journal ArticleDOI
High-quality health systems in the Sustainable Development Goals era: time for a revolution
Margaret E Kruk,Anna D. Gage,Catherine Arsenault,Keely Jordan,Hannah H. Leslie,Sanam Roder-DeWan,Olusoji Adeyi,Pierre M. Barker,Bernadette Daelmans,Svetlana V. Doubova,Mike English,Ezequiel García Elorrio,Frederico C. Guanais,Oye Gureje,Lisa R. Hirschhorn,Lixin Jiang,Edward Kelley,Ephrem T. Lemango,Jerker Liljestrand,Address Malata,Tanya Marchant,Malebona Precious Matsoso,John G. Meara,Manoj Mohanan,Youssoupha Ndiaye,Ole Frithjof Norheim,K. Srinath Reddy,Alexander K. Rowe,Joshua A. Salomon,Gagan Thapa,Nana A Y Twum-Danso,Muhammad Pate +31 more
TL;DR: High-quality health systems in the Sustainable Development Goals era: time for a revolution.
References
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Journal ArticleDOI
The Triple Aim: Care, Health, And Cost
TL;DR: Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care.
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.