Is patient activation associated with future health outcomes and healthcare utilization among patients with diabetes?
We examined the relationship between the patient activation measure (PAM) and future diabetes-related health outcomes through retrospective analysis of secondary data using multivariate logistic regression. PAM scores from a 2004 survey on 1180 randomly sampled adults with diabetes and health information from a 2006 diabetes registry were the data sources used. The PAM was predictive for hemoglobin A1c (HgA1c) testing (P < .008), low-density lipoprotein cholesterol (LDL-C) testing (P < .005), HgA1c control (P < .01), and all-cause discharges (P < .03), but not for lipid-lowering drug use, LDL-C control, or acute myocardial infarction discharges. These results suggest that PAM scores can be used to identify patients at risk for poorer health outcomes.
Remmers
Carol
C
Kaiser Permanente Utility for Care Data Analysis, Oakland, California 94612, USA. Carol.L.Remmers@kp.org
Hibbard
Judith
J
Mosen
David M
DM
Wagenfield
Morton
M
Hoye
Robert E
RE
Jones
Ches
C
D003920:Diabetes Mellitus / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010358:Patient Participation / Q000523:psychology*; D012189:Retrospective Studies; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy