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Key Attributes Of Patient Centered Medical Homes Associated With Patient Activation Of Diabetes Patients

Title: Key Attributes Of Patient Centered Medical Homes Associated With Patient Activation Of Diabetes Patients.
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Name(s): Bilello, Lori A., author
Hall, Allyson, author
Harman, Jeffrey, author
Scuderi, Christopher, author
Shah, Nipa, author
Mills, Jon C., author
Samuels, Shenae, author
Type of Resource: text
Genre: Journal Article
Text
Journal Article
Date Issued: 2018-01-05
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Background: Approximately 24 million Americans are living with diabetes. Patient activation among individuals with diabetes is critical to successful diabetes management. The Patient Centered Medical Home (PCMH) model holds promise for increasing patient activation in managing their health. However, what is not well understood is the extent to which individual components of the PCMH model, such as the quality of physician-patient interactions and organizational features of care, contribute to patient activation. This study's objective is to determine the relative importance of the PCMH constructs or domains to patient activation among individuals living with diabetes. Methods: This study is a cross-sectional analysis of 1253 primary care patients surveyed with type II diabetes. The dependent variable, patient activation, was assessed using the Patient Activation Measure (PAM). Independent variables included 7 PCMH domains-organizational access, integration of care, comprehensive knowledge, office staff helpfulness, communication, interpersonal treatment and trust. Ordered logistic regression was performed to determine whether each PCMH domain was independently associated with patient activation, followed by a final ordered logistic regression that included all the PCMH domains in a single adjusted model. Results: Using the full adjusted model, the odds of patients reporting higher activation scores (PAM) were found to be significant in the domains that represented organizational access (OR 1.56, 95% CI 1.31-1.85) and comprehensive knowledge (OR 1.44, 95% CI 1.13-1.85). Conclusions: Many practices have struggled with the challenge to develop fully functional patient-centered medical homes. In an effort to become more patient-centered, this study aimed to address what factors activated diabetic patients to adhere to diabetes management plan. Understanding these factors can help identify PCMH attributes that practices can prioritize and improve upon to assist their patients in improving health outcomes.
Identifier: FSU_libsubv1_wos_000419880900002 (IID), 10.1186/s12875-017-0704-3 (DOI)
Keywords: health, validation, primary-care, satisfaction, translation, chronic illness, measure pam13, patients experiences, physician, short-form
Publication Note: The publisher's version of record is available at https://doi.org/10.1186/s12875-017-0704-3
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_libsubv1_wos_000419880900002
Owner Institution: FSU
Is Part Of: Bmc Family Practice.
1471-2296
Issue: vol. 19

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Bilello, L. A., Hall, A., Harman, J., Scuderi, C., Shah, N., Mills, J. C., & Samuels, S. (2018). Key Attributes Of Patient Centered Medical Homes Associated With Patient Activation Of Diabetes Patients. Bmc Family Practice. Retrieved from http://purl.flvc.org/fsu/fd/FSU_libsubv1_wos_000419880900002