Observational studyBMJ quality & safety2018
Self-management capability in patients with long-term conditions is associated with reduced healthcare utilisation across a whole health economy: cross-sectional analysis of electronic health records.
Observational study in BMJ quality & safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
54 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Midwife continuity of care models versus other models of care for childbearing women.The Cochrane database of systematic reviews · 2024Pooled it
- Digital technology to support lifestyle and health behaviour changes in surgical patients: systematic review.BJS open · 2021Pooled it
- The effectiveness of conservative interventions for the management of syndromic hypermobility: a systematic literature review.Clinical rheumatology · 2021Pooled it
- Methods and Evaluation Criteria for Apps and Digital Interventions for Diabetes Self-Management: Systematic Review.Journal of medical Internet research · 2020Pooled it
- Comparing the clinical and cost-effectiveness of various washout policies in preventing catheter associated complications in adults living with long-term catheters: synopsis of the CATHETER II RCT.Health technology assessment (Winchester, England) · 2026Trial
- Trial
- Assessing the Implementation and Effectiveness of the Electronic Patient-Reported Outcome Tool for Older Adults With Complex Care Needs: Mixed Methods Study.Journal of medical Internet research · 2021Trial
- A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model.BMC geriatrics · 2021Trial
- Trial
- 'I don't think they involve me in any way': Qualitative study of patient centrality in chronic non-communicable disease management in Ghana.BMJ public health · 2026Article
- A review, evaluation and content mapping study of Australian patient-facing online pancreatobiliary cancer resources.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Review
- Urgent Care Centre Eligible Presentations in a Remote Emergency Department.Emergency medicine Australasia : EMA · 2025Article
- Health coaching for people with long-term conditions and multimorbidity: a mixed methods prospective service evaluation of Structured Agenda-free Coaching Conversations (StACC) in UK primary care.BMC public health · 2025Article
- Attendance at remote versus in-person outpatient appointments in an NHS Trust.Journal of telemedicine and telecare · 2025Observational
- Drivers and barriers to promoting self-care in individuals living with multiple long-term health conditions: a cross-sectional online survey of health and care professionals.BMC public health · 2025Article
- Article
- Music listening for psychological well-being in adults with acquired vision impairment: a feasibility randomised controlled trial.Frontiers in psychiatry · 2025Article
- Rethinking Models of Chronic Kidney Disease Care: A Narrative Review.Kidney & blood pressure research · 2025Review
- Article
- Evaluating the Effect of a Novel Digital Ostomy Device on Leakage Incidents, Quality of Life, Mental Well-Being, and Patient Self-Care: An Interventional, Multicentre Clinical Trial.Journal of clinical medicine · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo quantify the association between patient self-management capability measured using the Patient Activation Measure (PAM) and healthcare utilisation across a whole health economy.
results12 270 PAM questionnaires were returned from 9348 patients. In the adjusted analyses, compared with the least activated group, highly activated patients (level 4) had the lowest rate of contact with a general practitioner (rate ratio: 0.82, 95% CI 0.79 to 0.86), emergency department attendances (rate ratio: 0.68, 95% CI 0.60 to 0.78), emergency hospital admissions (rate ratio: 0.62, 95% CI 0.51 to 0.75) and outpatient attendances (rate ratio: 0.81, 95% CI 0.74 to 0.88). These patients also had the lowest relative rate (compared with the least activated) of 'did not attends' at the general practitioner (rate ratio: 0.77, 95% CI 0.68 to 0.87), 'did not attends' at hospital outpatient appointments (rate ratio: 0.72, 95% CI 0.61 to 0.86) and self-referred attendance at emergency departments for conditions classified as minor severity (rate ratio: 0.67, 95% CI 0.55 to 0.82), a significantly shorter average length of stay for overnight elective admissions (rate ratio 0.59, 95% CI 0.37 to 0.94),and a lower likelihood of 30- day emergency readmission (rate ratio: 0.68 , 95% CI 0.39 to 1.17), though this did not reach significance.
conclusionsSelf-management capability is associated with lower healthcare utilisation and less wasteful use across primary and secondary care.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.