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J Ambul Care Manage. 2009 Oct-Dec;32(4):320-7. doi: 10.1097/JAC.0b013e3181ba6e77.

Is patient activation associated with future health outcomes and healthcare utilization among patients with diabetes?

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Kaiser Permanente Utility for Care Data Analysis, Oakland, California 94612, USA.


We examined the relationship between the patient activation measure (PAM) and future diabetes-related health outcomes through retrospective analysis of secondary data using multivariate logistic regression. PAM scores from a 2004 survey on 1180 randomly sampled adults with diabetes and health information from a 2006 diabetes registry were the data sources used. The PAM was predictive for hemoglobin A1c (HgA1c) testing (P < .008), low-density lipoprotein cholesterol (LDL-C) testing (P < .005), HgA1c control (P < .01), and all-cause discharges (P < .03), but not for lipid-lowering drug use, LDL-C control, or acute myocardial infarction discharges. These results suggest that PAM scores can be used to identify patients at risk for poorer health outcomes.

[Indexed for MEDLINE]

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