ArticleBMC family practice2018
Key attributes of patient centered medical homes associated with patient activation of diabetes patients.
Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- The people-centered care and inpatients' perceived experience in China: a nationwide cross-sectional study.International journal for equity in health · 2025Article
- Importance of medical home domains on emergency visits using a cross-sectional national survey of US children.BMJ open · 2024Article
- Exploring factors influencing patient activation in Saudi rheumatoid arthritis patients: A Nationwide Cross-Sectional Survey-Results from the COPARA study.Immunity, inflammation and disease · 2023Article
- Care Management Processes Important for High-Quality Diabetes Care.Diabetes care · 2023Article
- The Patient Activation Measure in Patients with Rheumatoid Arthritis: A Systematic Review and Cross-Sectional Interview-Based Survey.Patient preference and adherence · 2022Article
- Impact of a patient-centered medical home demonstration on quality of life and patient activation for older adults with complex needs in Singapore.BMC geriatrics · 2021Article
- Factors that facilitate patient activation in the self-management of diabetes and depression among participants enrolled in an integrated chronic care model in India.Social science & medicine (1982) · 2021Article
- Patient Activation and Glycemic Control Among Filipino Americans.Health equity · 2021Article
- Patient-Centered Medical Home Activities Associated With Low Medicare Spending and Utilization.Annals of family medicine · 2020Article
- Redesigning Primary Care to Improve Diabetes Outcomes (the UNITED Study).Diabetes care · 2020Article
- Practice Transformation Analytics Dashboard for Clinician Engagement.Annals of family medicine · 2019Article
- Behavioral Theory: The Missing Ingredient for Digital Health Tools to Change Behavior and Increase Adherence.Journal of diabetes science and technology · 2019Article
- Successful Change Management Strategies for Improving Diabetes Care Delivery Among High-Performing Practices.Annals of family medicineArticle
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApproximately 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.
methodsThis 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.
resultsUsing 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).
conclusionsMany 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.
trial registrationStudy was not a clinical trial; therefore it was not registered.
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