Correlates of Patient Activation and Acute Care Utilization Among Multimorbid Patients

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1335-1353
Number of pages19
JournalWestern journal of nursing research
Volume38
Issue number10
DOIs
StatePublished - Oct 1 2016

Fingerprint

Patient Participation
Health Literacy
Hospitalization
Chronic Disease
Patient Transfer
Patient-Centered Care
Patient Discharge
Self Care
Hospital Emergency Service
Research

Keywords

  • acute care utilization
  • care transition
  • chronic illness
  • multimorbid
  • patient activation
  • self-management

ASJC Scopus subject areas

  • Nursing(all)

Cite this

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abstract = "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.",
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