Journal of Ambulatory Care Management:
October/December 2009 - Volume 32 - Issue 4 - p 320-327
doi: 10.1097/JAC.0b013e3181ba6e77
Article
Is Patient Activation Associated With Future Health Outcomes and Healthcare Utilization Among Patients With Diabetes?
Remmers, Carol PhD; Hibbard, Judith DrPH; Mosen, David M. PhD; Wagenfield, Morton PhD; Hoye, Robert E. PhD; Jones, Ches PhD
Abstract
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.
