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- Title
Care Coordination for the Chronically Ill: Understanding the Patient's Perspective.
- Authors
Maeng, Daniel D.; Martsolf, Grant R.; Scanlon, Dennis P.; Christianson, Jon B.
- Abstract
Objective To identify factors associated with perception of care coordination problems among chronically ill patients. Methods Patient-level data were obtained from a random-digit dial telephone survey of adults with chronic conditions. The survey measured respondents' self-report of care coordination problems and level of patient activation, using the Patient Activation Measure ( PAM-13). Logistic regression was used to assess association between respondents' self-report of care coordination problems and a set of patient characteristics. Results Respondents in the highest activation stage had roughly 30-40 percent lower odds of reporting care coordination problems compared to those in the lowest stage ( p < .01). Respondents with multiple chronic conditions were significantly more likely to report coordination problems than those with hypertension only. Respondents' race/ethnicity, employment, insurance status, income, and length of illness were not significantly associated with self-reported care coordination problems. Conclusion We conclude that patient activation and complexity of chronic illness are strongly associated with patients' self-report of care coordination problems. Developing targeted strategies to improve care coordination around these patient characteristics may be an effective way to address the issue.
- Subjects
CHRONICALLY ill patient care; PATIENTS' attitudes; PERSPECTIVE (Philosophy); ETHNICITY; EMPLOYMENT; TELEPHONE surveys; LOGISTIC regression analysis
- Publication
Health Services Research, 2012, Vol 47, Issue 5, p1960
- ISSN
0017-9124
- Publication type
Article
- DOI
10.1111/j.1475-6773.2012.01405.x