医疗保健协调干预对患者激活的影响
Samuel T Savitz1, Michelle A Lampman, Shealeigh A Inselman
1Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 1st St SW, Harwick 2nd Floor, Rochester, MN 55905.
The American journal of managed care
|June 23, 2025
概括
成人医疗保健协调 (AMCC) 显著改善了患者的激活,特别是在管理慢性疾病方面. 这种干预措施提高了患者的信心和自我管理技能,以获得更好的健康结果.
科学领域:
- 医疗保健管理的管理
- 患者参与 患者参与
- 慢性疾病管理 慢性疾病管理
背景情况:
- 有效的护理协调对于患有多种慢性疾病的患者至关重要.
- 患者激活,定义为管理自身健康的知识,技能和信心,与更好的健康结果有关.
- 需要旨在改善患者激活的干预措施,特别是在高风险人群中.
研究的目的:
- 评估成人医疗协调 (AMCC) 干预对患者激活的影响.
- 评估AMCC是否提高了患者管理其健康和慢性疾病的能力.
主要方法:
- 一项观察性评估比较了AMCC干预与通常护理 (UC).
- 符合条件的患者有2+慢性疾病和高再接收风险.
- 在基线和30,90和180天使用10项患者激活量 (PAM) 测量患者激活.
主要成果:
- AMCC干预与患者激活水平 (PAM 3) 在30,90和180天显著增加有关.
- 在180天后,观察到较低激活水平 (PAM 1或2) 的显著下降.
- 在180天内,AMCC将高激活 (PAM3或4) 患者的百分比增加了15.2个百分点.
结论:
- 成人医疗保健协调 (AMCC) 显著提高了患者的活化.
- 这些发现强调了AMCC作为自我管理支持干预措施的价值.
- AMCC可以提高患者对有效管理健康的信心.
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