[preamble]Leave it to our government and some comity to restate the obvious. I have been advocating the doctor/patient relation ship for years. Meaning anything that comes between the doctor/patient is detrimental to the healing process. Hence, Obama care, reduction in so called costs, ACO’s etc… all come between the doctor and patient. So on one hand, our government and medical societies are demand a fix to a “crisis” yet the only fix is to allow doctors to do what they do best – take care of patients. Perhaps the best way to fix it is to attack the insurance companies, tort reform, unions and the lawyers – god forbid we really want to solve a problem! oh and if you read the article you will see another buzz word – “patient activation” absolutely insane how we keep making up words to complicate an issue – patient activation? [backtopost]
When Seeing The Same Physician, Highly Activated Patients Have Better Care Experiences Than Less Activated Patients
- Jessica Greene1,*,
- Judith H. Hibbard2,
- Rebecca Sacks3 and
- Valerie Overton
1Jessica Greene (firstname.lastname@example.org) is a professor in the School of Nursing at the George Washington University, in Washington, D.C.
2Judith H. Hibbard is a professor emerita and senior researcher in the Health Policy Research Group at the University of Oregon, in Eugene.
3Rebecca Sacks is a research assistant in the Health Policy Research Group at the University of Oregon.
4Valerie Overton is vice president for quality and innovation at Fairview Medical Group, in Minneapolis, Minnesota. Fairview Medical Group oversees the forty-four primary care clinics in Fairview Health Services.
- ↵*Corresponding author
Measures of the patient care experience are now routinely used in public reports and increasingly influence health provider payment. We examined data from 5,002 patients of forty-nine primary care providers to explore the relationship between patient activation—a term referring to the knowledge, skills, and confidence a patient has for managing his or her health care—and the patient care experience. We found that patients at higher levels of activation had more positive experiences than patients at lower levels seeing the same clinician. The observed differential was maintained when we controlled for demographic characteristics and health status. We did not find evidence that patients at higher levels of activation selected providers who were more patient-centric. The findings suggest that the care experience is transactional, shaped by both providers and patients. Strategies to improve the patient experience, therefore, should focus not only on providers but also on improving patients’ ability to elicit what they need from their providers.