Advertisement
Benefits Seen With Patient Activation

Benefits Seen With Patient Activation

Reducing 30-day readmission rates has become an important mission to helping improve quality of care and containing healthcare costs. Previous studies have suggested that patients who have the know­ledge, skills, and confidence to manage their own care after hospital discharge—a concept dubbed patient activation—can result in better health outcomes and lower rates of health service utilization. “It’s possible that greater patient activation can help decrease rates of 30-day hospital readmissions among those with chronic illnesses,” says Suzanne E. Mitchell, MD, MS. An In-Depth Analysis In a study published in the Journal of General Internal Medicine, Dr. Mitchell and colleagues sought to determine the role of patient activation in the rate of hospital readmissions within 30 days of hospital discharge. The study team used an abbreviated version of the Patient Activation Measure (PAM), an assessment that was developed to measure how actively patients are involved in their healthcare. Based on PAM responses, participants were assigned a PAM level between 1 and 4, with level 1 being the least engaged and level 4 being the most engaged. The total 30-day post-discharge hospital utilization was defined as total ED visits plus hospital readmissions, including observation stays. According to the study results, 30-day post-discharge hospital utilization was higher for those with lower levels of activation (PAM level 1) when compared with highly activated patients (PAM level 4). The rate ratio for PAM level 1 patients was also higher when compared with PAM level 4 patients for ED use alone and for hospital readmissions alone. “We observed a dose-effect between patient activation and readmissions in that the rate of readmissions decreased with increasing levels...
[ HIDE/SHOW ]