How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England

Abstract Background There is increasing awareness of the importance of patient activation (knowledge, skills, and confidence for managing one’s health and health care) among clinicians and policy makers, with emerging evidence showing higher levels of patient activation are associated with better he...

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Autores principales:	Feifei Bu, Daisy Fancourt
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/560ec40f503a42469e1c63c7fcdb973f
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spelling	oai:doaj.org-article:560ec40f503a42469e1c63c7fcdb973f2021-11-07T12:11:39ZHow is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England10.1186/s12913-021-07115-71472-6963https://doaj.org/article/560ec40f503a42469e1c63c7fcdb973f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07115-7https://doaj.org/toc/1472-6963Abstract Background There is increasing awareness of the importance of patient activation (knowledge, skills, and confidence for managing one’s health and health care) among clinicians and policy makers, with emerging evidence showing higher levels of patient activation are associated with better health outcomes and experiences of health care. This study aimed to examine the association between patient activation and a wide range of specific types of healthcare service utilisation in England, including GP and non-GP primary care, elective and emergency hospital admissions, outpatient visits, and attendances at the Accident and Emergency department. Methods Data were derived from linked electronic patient records collected by primary and secondary healthcare providers in North West London between January 2016 and November 2019. Our analyses focused on adults (18+) with a valid Patient Activation Measure (PAM). After excluding patients with missing data, we had an analytical sample of 15,877 patients. Data were analysed using negative binomial regression and logistic regression models depending on the outcome variable. Results Patients had a mean activation score of 55.1 and a standard deviation (SD) of 17.7 (range: 0–100). They had an average of 5.4 GP visits (SD = 8.0), 26.8 non-GP visits (SD = 23.4) and 6.0 outpatient attendances (SD = 7.9) within a one-year follow-up. About 24.7% patients had at least one elective admission, 24.2% had one or more emergency admissions, and 42.3% had one or more A&E attendance within the follow-up. After accounting for a number of demographic and health factors, we found a linear (or proximately linear) association between patient activation and the number of GP visits, emergency admissions and A&E attendance, but a non-linear relationship between patient activation and the number of non-GP visits, the number of outpatient attendance and elective inpatient admission. Conclusions This study has provided strong empirical evidence from England linking patient activation with healthcare service utilisation. It suggests the value of supporting patient activation as a potential pathway to ease the burden of healthcare system.Feifei BuDaisy FancourtBMCarticlePublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Public aspects of medicine RA1-1270
spellingShingle	Public aspects of medicine RA1-1270 Feifei Bu Daisy Fancourt How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England
description	Abstract Background There is increasing awareness of the importance of patient activation (knowledge, skills, and confidence for managing one’s health and health care) among clinicians and policy makers, with emerging evidence showing higher levels of patient activation are associated with better health outcomes and experiences of health care. This study aimed to examine the association between patient activation and a wide range of specific types of healthcare service utilisation in England, including GP and non-GP primary care, elective and emergency hospital admissions, outpatient visits, and attendances at the Accident and Emergency department. Methods Data were derived from linked electronic patient records collected by primary and secondary healthcare providers in North West London between January 2016 and November 2019. Our analyses focused on adults (18+) with a valid Patient Activation Measure (PAM). After excluding patients with missing data, we had an analytical sample of 15,877 patients. Data were analysed using negative binomial regression and logistic regression models depending on the outcome variable. Results Patients had a mean activation score of 55.1 and a standard deviation (SD) of 17.7 (range: 0–100). They had an average of 5.4 GP visits (SD = 8.0), 26.8 non-GP visits (SD = 23.4) and 6.0 outpatient attendances (SD = 7.9) within a one-year follow-up. About 24.7% patients had at least one elective admission, 24.2% had one or more emergency admissions, and 42.3% had one or more A&E attendance within the follow-up. After accounting for a number of demographic and health factors, we found a linear (or proximately linear) association between patient activation and the number of GP visits, emergency admissions and A&E attendance, but a non-linear relationship between patient activation and the number of non-GP visits, the number of outpatient attendance and elective inpatient admission. Conclusions This study has provided strong empirical evidence from England linking patient activation with healthcare service utilisation. It suggests the value of supporting patient activation as a potential pathway to ease the burden of healthcare system.
format	article
author	Feifei Bu Daisy Fancourt
author_facet	Feifei Bu Daisy Fancourt
author_sort	Feifei Bu
title	How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England
title_short	How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England
title_full	How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England
title_fullStr	How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England
title_full_unstemmed	How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England
title_sort	how is patient activation related to healthcare service utilisation? evidence from electronic patient records in england
publisher	BMC
publishDate	2021
url	https://doaj.org/article/560ec40f503a42469e1c63c7fcdb973f
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How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England

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