Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs.

Item request has been placed! ×
Item request cannot be made. ×
  Processing Request
  • Additional Information
    • Subject Terms:
    • Abstract:
      We explored whether supplementing a clinical risk score with a behavioral measure could improve targeting of the patients most in need of supports that reduce their risk of costly service utilization. Using data from a large health system that determines patient self-management capability using the Patient Activation Measure, we examined utilization of hospital and emergency department care by the 15 percent of patients with the highest clinical risk scores. After controlling for risk scores and placing patients within segments based on their level of activation in 2011, we found that the lower the activation level, the higher the utilization and cost of hospital services in each of the following three years. These findings demonstrate that adding a measure of patient self-management capability to a risk assessment can improve prediction of high care costs and inform actions to better meet patient needs. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Health Affairs is the property of Project HOPE/HEALTH AFFAIRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Senior researcher, Health Policy Research Group, University of Oregon, Eugene
      2Professor in and associate dean, School of Nursing, George Washington University, Washington, D.C.
      3Data analyst, School of Nursing, George Washington University
      4Vice president for quality and innovation, Fairview Medical Group, Minneapolis, Minnesota
      5Performance improvement consultant, Fairview Medical Group
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2015.1031
    • Accession Number:
      113642945
  • Citations
    • ABNT:
      HIBBARD, J. H. et al. Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs. Health Affairs, [s. l.], v. 35, n. 3, p. 489–494, 2016. Disponível em: . Acesso em: 22 set. 2019.
    • AMA:
      Hibbard JH, Greene J, Sacks R, Overton V, Parrotta CD. Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs. Health Affairs. 2016;35(3):489-494. doi:10.1377/hlthaff.2015.1031.
    • APA:
      Hibbard, J. H., Greene, J., Sacks, R., Overton, V., & Parrotta, C. D. (2016). Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs. Health Affairs, 35(3), 489–494. https://doi.org/10.1377/hlthaff.2015.1031
    • Chicago/Turabian: Author-Date:
      Hibbard, Judith H., Jessica Greene, Rebecca Sacks, Valerie Overton, and Carmen D. Parrotta. 2016. “Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs.” Health Affairs 35 (3): 489–94. doi:10.1377/hlthaff.2015.1031.
    • Harvard:
      Hibbard, J. H. et al. (2016) ‘Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs’, Health Affairs, 35(3), pp. 489–494. doi: 10.1377/hlthaff.2015.1031.
    • Harvard: Australian:
      Hibbard, JH, Greene, J, Sacks, R, Overton, V & Parrotta, CD 2016, ‘Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs’, Health Affairs, vol. 35, no. 3, pp. 489–494, viewed 22 September 2019, .
    • MLA:
      Hibbard, Judith H., et al. “Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs.” Health Affairs, vol. 35, no. 3, Mar. 2016, pp. 489–494. EBSCOhost, doi:10.1377/hlthaff.2015.1031.
    • Chicago/Turabian: Humanities:
      Hibbard, Judith H., Jessica Greene, Rebecca Sacks, Valerie Overton, and Carmen D. Parrotta. “Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs.” Health Affairs 35, no. 3 (March 2016): 489–94. doi:10.1377/hlthaff.2015.1031.
    • Vancouver/ICMJE:
      Hibbard JH, Greene J, Sacks R, Overton V, Parrotta CD. Adding A Measure Of Patient Self-Management Capability To Risk Assessment Can Improve Prediction Of High Costs. Health Affairs [Internet]. 2016 Mar [cited 2019 Sep 22];35(3):489–94. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=113642945&custid=s8280428