Key attributes of patient centered medical homes associated with patient activation of diabetes patients

BMC Family Practice
Lori A BilelloShenae Samuels

Abstract

Approximately 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. This 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...Continue Reading

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Citations

Jul 19, 2018·The Journal of the Association of Nurses in AIDS Care : JANAC·Wayne T StewardShannon M Fuller
Dec 29, 2019·Diabetes Care·Kevin A PetersonMilton Eder
Jan 27, 2019·Journal of Diabetes Science and Technology·David C Klonoff
May 4, 2021·Health Equity·Razel B MiloCynthia D Connelly

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Software Mentioned

PAM
Statistical Analysis Software ( SAS )
ACES
STATA
STATA SE

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