Diabetes Knowledge And Patient Activation Survey


Diabetes Knowledge And Patient Activation Survey. Diagnosis of diabetes. For decades, the diagnosis of diabetes was based on plasma glucose criteria. Hypoglycemia in Type 2 Diabetes. Pathophysiology, frequency, and effects of different treatment modalities. The importance of strict glycemic control to limit the.
Methods Based on claims data, 5,346 people were selected who received diabetes care in the last 12 months. They received a questionnaire including the Patient Activation Measure (PAM) and questions on patient characteristics, life style and self-management behaviors, knowledge about diabetes, healthcare utilization and own clinical values. We used bivariate analyses and regression analyses to investigate the relationships between patient characteristics, patient activation level, and health-related outcomes. Results Data of 1,845 (35%) people were used in the analyses. Patient activation differed depending upon several patient characteristics.
Patient activation level was positively related to getting the recommended feet and eye examinations after controlling for several patient characteristics; no association was found for life-style and self-management behaviors and the other healthcare utilization measures. Those with a low patient activation level less often reported to have knowledge about diabetes and of their values on clinical indicators. Patients and especially the chronically ill are more and more expected to be in charge of their own health and the healthcare they receive.
For one, several western countries have introduced some form of managed competition in their healthcare system with the aim to accomplish a more efficient and more patient-centered healthcare system. Patients are expected to take more responsibility, to inform themselves about existing treatments and differences in quality of care between healthcare providers, and to choose the treatment and provider that best meet their needs. Also, the Chronic Care Model has been introduced to help healthcare providers to improve patients’ health outcomes [, ]. One important element is to accomplish productive interactions that help patients to set goals and solve problems for improved self-management. Healthcare professionals should mainly act as coaches, providing patients with information and helping them to develop skills to take a leading role [, ]. Both these trends ask for active patients; patients who are involved in their own health care, well-informed and able to adjust their behavior to realize or maintain a good health. Dragonball Z Budokai 3 Iso Pc Game more. For the chronically ill, it additionally means employing self-management activities such as monitoring one’s condition, self-treatment and coordinating the care of different providers [ ].
Diabetes is one of the most prevailing chronic conditions and a major cause of morbidity, disability and mortality [ ]. Self-management has been recognized as an important contributor to improved health outcomes for people with diabetes [ ]. However, not all people are equally well equipped to perform the variety of activities required for proper self-management.
Educating and training people to fulfill the role of active patient is assumed to have positive effects on health outcomes. It will also most likely enhance the sustainability of healthcare systems. More activated patients will be better able to self-manage their disease leading to a lower uptake of more costly health care [ – ]. In order to enhance the activation level of people with diabetes or a chronic illness in general, an instrument is needed to assess their abilities to manage their disease. Hibbard and colleagues developed the Patient Activation Measure (PAM) for this purpose.