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Correlates of Patient Activation and Acute Care Utilization Among Multimorbid Patients

机译:多发性病患者中患者激活和急性护理利用的相关性

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摘要

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.
机译:患者的活化和自我管理与患者的预后改善有关,包括减少了重新住院;但是,很少有研究发现预测多病住院患者中患者激活的因素。这项描述性相关研究纳入了200例患有三种或更多种慢性疾病的患者,这些患者在住院后均已出院。使用标准多元回归来确定患者激活的相关性。出院后30天,出院后激活评分较低的多病患者比起出院后激活评分较高的患者,其急诊利用率更高(重新住院和急诊就诊)。患者激活的预测因素包括健康素养(p = .013),对社会角色的满意度(p = .014)和参与慢性病护理(p = .001)。以健康素养,角色满意度和促进以患者为中心的护理为重点的护理过渡计划可能会改善多病患者的治疗效果。

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