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Verfasst von:Breckner, Amanda [VerfasserIn]   i
 Glassen, Katharina [VerfasserIn]   i
 Schulze, Josefine [VerfasserIn]   i
 Lühmann, Dagmar [VerfasserIn]   i
 Schaefer, Ingmar [VerfasserIn]   i
 Szecsenyi, Joachim [VerfasserIn]   i
 Scherer, Martin [VerfasserIn]   i
 Wensing, Michel [VerfasserIn]   i
Titel:Experiences of patients with multimorbidity with primary care and the association with patient activation
Titelzusatz:a cross-sectional study in Germany
Verf.angabe:Amanda Breckner, Katharina Glassen, Josefine Schulze, Dagmar Lühmann, Ingmar Schaefer, Joachim Szecsenyi, Martin Scherer, Michel Wensing
Jahr:2022
Umfang:9 S.
Fussnoten:Gesehen am 30.01.2023
Titel Quelle:Enthalten in: BMJ open
Ort Quelle:London : BMJ Publishing Group, 2011
Jahr Quelle:2022
Band/Heft Quelle:12(2022), 8, Artikel-ID e059100, Seite 1-9
ISSN Quelle:2044-6055
Abstract:Objectives This study aimed to explore the association between patient activation and patients’ experience of care among an elderly multimorbid population in Germany. - Design Cross-sectional study. - Setting Primary care practices in two German settings. - Participants 346 patients with 3 or more chronic conditions aged 65 years and over from 36 primary care practices. - Outcome measures Patient activation was measured with the patient activation measure (PAM). To assess patient experiences with primary care, a set of questions concerning domains of primary care were included. Multilevel regression analyses were performed to examine which domains of care were associated with patient activation. - Results Out of 1243 invited patients, a total of 346 took part in the study (participation rate 27.8 %). Mean PAM score was 76.1. Across all patients, 3.8% achieved PAM level 1, 7.5% level 2, 27.2% level 3% and 60.7% level 4. PAM scores suggest a highly activated patient group. In the regression analysis, three out ten domains of patients’ experiences showed an association with patient activation. The domains ‘being involved in decision as much as desired’ (B=−8.56, p=0.012) and ‘receiving a self-management plan’ (B=6.51, p=0.051) were associated with higher patient activation scores. Patients with an up-to-date medication plan had lower patient activation scores (B=−12.01, p=0.041). - Conclusion Specific domains of primary care were found to be associated with patient activation. To enhance patient activation, primary care physicians may increase involvement of patients in decisions. Future research should examine the causality of these associations. - Trial registration number DRKS00015718.
DOI:doi:10.1136/bmjopen-2021-059100
URL:kostenfrei: Volltext: https://doi.org/10.1136/bmjopen-2021-059100
 kostenfrei: Volltext: https://bmjopen.bmj.com/content/12/8/e059100
 DOI: https://doi.org/10.1136/bmjopen-2021-059100
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Health & safety
 PRIMARY CARE
 Quality in health care
K10plus-PPN:1832655679
Verknüpfungen:→ Zeitschrift
 
 
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