Measuring Patient Activation as Part of Kidney Disease Policy: Are We There Yet?

Journal of the American Society of Nephrology : JASN
Devika Nair, Kerri L Cavanaugh

Abstract

Optimal care occurs when patients possess the skills, knowledge, and confidence needed to effectively manage their health. Promoting such patient activation in kidney disease care is increasingly being prioritized, and patient activation has recently emerged as central to kidney disease legislative policy in the United States. Two options of the Centers for Medicare and Medicaid Services Kidney Care Choices model-the Kidney Care First option and the Comprehensive Kidney Care Contracting option-now include patient activation as a quality metric; both models specifically name the patient activation measure (PAM) as the patient-reported outcome to use when assessing activation in kidney disease. Because nephrology practices participating in these models will receive capitated payments according to changes in patients' PAM scores, it is time to more critically evaluate this measure as it applies to patients with kidney disease. In this review, we raise important issues related to the PAM's applicability to kidney health, review and summarize existing literature that applies this measure to patients with kidney disease, and outline key elements to consider when implementing the PAM into practice and policy. Our aim is to spur furthe...Continue Reading

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Citations

Jan 14, 2021·The American Journal of Hospice & Palliative Care·Alycia A BristolJennifer S Scherer
Apr 9, 2021·Journal of the American Society of Nephrology : JASN·Keren LadinDaniel E Weiner
Apr 10, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Thomas J WilkinsonAlice C Smith
Jun 4, 2021·Patient Preference and Adherence·Saija InkeroinenHeli Virtanen
Jun 13, 2021·Clinical Journal of the American Society of Nephrology : CJASN·Devika Nair, Kerri L Cavanaugh
Jun 13, 2021·Clinical Journal of the American Society of Nephrology : CJASN·Courtney J LightfootAlice C Smith
Aug 31, 2021·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Wael F HusseinBrigitte Schiller
Aug 31, 2021·Transplant International : Official Journal of the European Society for Organ Transplantation·Emanuele CozziUNKNOWN for ESOT Workstream 1 of the TLJ (Transplantation Learning Journey) Project
Oct 13, 2021·American Journal of Perinatology·Ryan SkeensGretchen P Jackson

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