The development and testing of a measure assessing clinician beliefs about patient self-management.
BACKGROUND
Clinicians have been slow to embrace support for patient self-management.


OBJECTIVE
To explore clinicians' beliefs about patient self-management and specifically assess which patient competencies clinicians believe are most important for their patients.


METHODS
Using items adapted from the Patient Activation Measure (PAM) as a basis, a new measure that assesses clinicians' beliefs about patient self-management was created using Rasch analysis. The development and testing of the new measure Clinician Support for Patient Activation Measure (CS-PAM) is described here. Primary care clinicians from the UK and the USA were recruited to participate in the survey (n = 175).


RESULTS
The CS-PAM reliably measures clinician attitudes about the patient role in the care process. Clinicians strongly endorse that patients should follow medical advice but are less likely to endorse that patients should be able to make independent judgements or take independent actions. Endorsed to a lesser degree was the idea that patients should be able to function as a member of the care team. Least endorsed was the notion that patients should be independent information seekers.


CONCLUSIONS
Clinicians' views appear to be out of step with current policy directions and professional codes. Clinicians need support to transition to understand the need to support patients as independent actors.
Hibbard
Judith H
JH
Institute for Policy Research and Innovation, University of Oregon, Eugene, OR 97403-5293, USA.
Collins
Peter Alf
PA
Mahoney
Eldon
E
Baker
Laurence H
LH
D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D011320:Primary Health Care; D012648:Self Care; D011795:Surveys and Questionnaires; D006113:United Kingdom; D014481:United States