24 hours ago · This opens in a new window. Professor Judith H. Hibbard, Professor of Health Policy, Department of Planning, Public Policy and Management, Unviersity of Oregon, and Clinical Professor, Department of Public Health and Preventative Medicine, Oregon Health and … >> Go To The Portal
Using the Patient Activation Measure to Improve Outcomes and Control Costs Judith H. Hibbard, DrPH Health Policy Research Group University of Oregon © 2014 University of Oregon 2 What is Activation? An activated consumer: •Has the knowledge, skill and confidence to take on the role of managing their health and health care
In a 54-page document entitled “Supporting People to Manage Their Health: An Introduction to Patient Activation” published in May 2014, patient activation is described as “the knowledge, skills and confidence a person has in managing their own health and health care.”
What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Affairs.2005 February; 32:2 Turner, RM, Ginli M, Korig, K, Greenberg, J, DeVries, R. Evaluation of a diabetes self-management program: claims analysis on comorbid illnesses, health care utilization, and cost.
Research shows that appropriately designed interventions can increase patients’ levels of activation, with associated health benefits. The paper explores how this is being achieved in practice and offers recommendations for extending early use of the PAM in the United Kingdom.
Patient activation can be used to reduce health inequalities and deliver improved outcomes, better quality care and lower costs. Drawing on US and UK-based evidence, the paper describes the robust patient-reported measure – the PAM – used to gauge patient activation.
People who are more activated are significantly more likely to attend screenings, check-ups and immunisations, to adopt positive behaviours (eg, diet and exercise), and have clinical indicators in the normal range (body mass index, blood sugar levels (A1c), blood pressure and cholesterol). Patients who are less activated are significantly less ...
Studies of interventions to improve activation show that patients who start with the lowest activation scores tend to increase their scores the most , suggesting that effective interventions can help engage even the most disengaged.
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 ...
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.