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Care coordination for the chronically ill: understanding the patient's perspective.
Daniel D Maeng1, Grant R Martsolf, Dennis P Scanlon
1Geisinger Center for Health Research, 100 N. Academy Ave. M.C. 44-00 Danville, PA 17822, USA. ddmaeng@geisinger.edu
Health Services Research
|September 19, 2012
Summary
Patient activation and having multiple chronic conditions are key factors influencing perceived care coordination problems. Higher patient activation is linked to fewer problems, while more complex conditions increase them.
Area of Science:
- Health Services Research
- Patient Experience
- Chronic Disease Management
Background:
- Care coordination is crucial for managing chronic illnesses.
- Understanding patient perspectives on care coordination is essential for improving healthcare delivery.
- Patient activation, a measure of health-related knowledge, skills, and confidence, may influence care coordination experiences.
Purpose of the Study:
- To identify factors associated with the perception of care coordination problems among chronically ill patients.
- To examine the relationship between patient activation and self-reported care coordination issues.
- To investigate the impact of chronic condition complexity on care coordination challenges.
Main Methods:
- A random-digit dial telephone survey was conducted with adults diagnosed with chronic conditions.
- The Patient Activation Measure (PAM-13) was used to assess patient activation levels.
- Logistic regression analysis was employed to determine associations between patient characteristics and reported care coordination problems.
Main Results:
- Patients in the highest stage of activation reported 30-40% fewer care coordination problems compared to those in the lowest stage (p < .01).
- Individuals with multiple chronic conditions were significantly more likely to report coordination problems than those with hypertension only.
- No significant associations were found between race/ethnicity, employment, insurance status, income, or length of illness and self-reported coordination problems.
Conclusions:
- Patient activation and the complexity of chronic illness are strongly associated with patients' self-reported care coordination problems.
- Targeted strategies to enhance care coordination based on patient activation and illness complexity may effectively address reported issues.
- These findings highlight the importance of patient-centered approaches in improving care coordination for individuals with chronic conditions.
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