Correlates of Patient Activation and Acute Care Utilization Among Multimorbid Patients
| Autor: | Lani Zimmerman, Audrey Paulman, Melody Hertzog, Bunny Pozehl, Myra Schmaderer |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Patient Transfer Patient Activation medicine.medical_specialty Hospitalized patients Health literacy Comorbidity 03 medical and health sciences 0302 clinical medicine Acute care Humans Medicine Social role 030212 general & internal medicine Intensive care medicine General Nursing Self-management business.industry 030503 health policy & services Emergency department Middle Aged Hospitals Health Literacy Self Care Cross-Sectional Studies Correlational study Chronic Disease Female Patient Participation 0305 other medical science business |
| Zdroj: | Western Journal of Nursing Research. 38:1335-1353 |
| ISSN: | 1552-8456 0193-9459 |
| DOI: | 10.1177/0193945916651264 |
| Popis: | Patient activation and self-management have been associated with improved patient outcomes, including decreased re-hospitalization; however, little research has identified factors that predict patient activation in the multimorbid hospitalized patient. This descriptive correlational study included 200 patients with three or more chronic diseases discharged to home post-hospitalization. Standard multiple regression was used to identify correlates of patient activation. Multimorbid patients with lower activation scores had more acute care utilization (re-hospitalization and emergency department visits) 30 days post-discharge than patients with higher activation scores. Predictors of patient activation were health literacy ( p = .013), satisfaction with social role ( p = .014), and involvement in chronic illness care ( p = .001). Care transition programs focusing on health literacy, role satisfaction, and promoting patient-centered care may improve patient outcomes for multimorbid patients. |
| Databáze: | OpenAIRE |
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