How do primary care patients perceive information for involving themselves in self-care?
DOI:
https://doi.org/10.23938/S1137-6627/2016000100015Keywords:
activación del paciente, implicación del paciente, seguridad del paciente, medicación, calidad asistencial.Abstract
Background. Analyze if patients receive information from their GPs to engage in self-management (medication, physical exercise or diet).
Methods. A descriptive study in which 2,401 randomly selected, primary care patients were interviewed by telephone. A short scale of 6 questions was used to analyze if they received information for self-care. Statistics included analyzing differences according to age, sex, occurrence of security incidents, whether they regularly attended the physician’s surgery and length of consultation time.
Results. A total of 2,350 patients responded (97.9% response rate). A total of 1,253 (34.6%) of respondents obtained 5 or more points on the scale (percentile 50). Receiving information about foreseeable prognosis increased satisfaction (OR 11.2 (95% 8.3-15.3). Consultation time length (p<0.01), regularly visiting physicians (p<0.01), and not suffering an adverse event (p<0.01) were associated with higher scores on the scale.
Conclusions. Patients report they receive directions for the proper management of medication at home, but claim that they receive less information to engage in healthy behaviors.
Key words. Patient activation. Patient engagement. Patient safety. Medication. Health care quality.
Downloads
References
1. MENEU R. La perspectiva de los pacientes. Gestión Clínica y Sanitaria 2002; 4: 3-4.
2. LORENZO S. Hacia nuevos planteamientos de calidad. El paciente como coprotagonista. Gac Sanit 2008; 22: 186-191.
https://doi.org/10.1016/S0213-9111(08)76091-6
3. HIBBARD JH, STOCKARD J, MAHONEY ER, TUSLER M. Development of the patient activation measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Serv Res 2004; 39: 1005-1026.
https://doi.org/10.1111/j.1475-6773.2004.00269.x
4. JOVELLA A, NAVARRO-RUBIO MD, FERNÁNDEZ-MALDONA L, BLANCAFORT S. Aten Primaria 2006; 38: 234-237.
https://doi.org/10.1157/13092347
5. PULVIRENTI M, MCMILLAN J, LAWN S. Empowerment, patient centred care and self-management. Health Expectations 2014; 17: 303-310.
https://doi.org/10.1111/j.1369-7625.2011.00757.x
6. LONGTIN Y, SAX H, LEAPE L, SHERIDAN S, DONALSON L, PITTET D et al. Patient participantion: Current knowledge and applicability to patient safety. Mayo Clin Proc 2010; 85: 53-62.
https://doi.org/10.4065/mcp.2009.0248
7. SCHWAPPACH DL. Review: engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev 2010; 67: 119-148.
https://doi.org/10.1177/1077558709342254
8. NUÑO-SOLINIS R, RODRÍGUEZ-PEREIRA C, PIÑEERA-ELORRIAGA K, ZABALLA-GONZÁLEZ I, BIKANDI-IRAZABAL J et al. Panorama de las iniciativas de educación para el autocuidado en España. Gac Sanit 2013; 27: 332-337.
https://doi.org/10.1016/j.gaceta.2013.01.008
9. GREENE J, HIBBARD JH. Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. J Gen Intern Med 2012; 27: 520-526.
https://doi.org/10.1007/s11606-011-1931-2
10. HIBBARD JH, GREENE J, OVERTON V. Patients with lower activation associated with higher costs; delivery systems should know their patients scores. Health Affairs 2013; 32: 216-222.
https://doi.org/10.1377/hlthaff.2012.1064
11. NUÑO R, FERNÁNDEZ P, MIRA JJ, TORO N, CONTEL JC, GUILABERT M et al. Desarrollo de IEMAC, un instrumento para la evaluación de modelos asistenciales ante la cronicidad. Gac Sanit 2013; 27: 128-134.
https://doi.org/10.1016/j.gaceta.2012.05.012
12. MILLER WR, ROLLNICK S. Ten things that motivational interviewing is not. Behav Cogn Psychother 2009; 37: 129-140.
https://doi.org/10.1017/S1352465809005128
13. PÉRULA DE TORRES LA, PULIDO L, PÉRULA DE TORRES C, GONZÁLEZ-LAMA C, OLAYA I, RUIZ-MORAL R et al. Grupo corporativo Estudio ATEM-AP. Eficacia de la entrevista motivacional para reducir errores de medicación en pacientes crónicos polimedicados mayores de 65 años: resultados de un ensayo clínico aleatorizado por cluster. Med Clin (Barc) 2014; 143: 341-348.
https://doi.org/10.1016/j.medcli.2013.07.032
14. MIRA JJ, OROZCO-BELTRÁN D, PÉREZ-JOVER V, MARTINEZ-JIMENO L, GIL-GUILLÉN V, CARRATALA-MUNUERA C et al. Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Family Practice 2013; 30: 56-63.
https://doi.org/10.1093/fampra/cms046
15. FROSCH D, ELWYN G. I believe, therefore I do. J Gen Intern Med 2011; 26: 2-4.
https://doi.org/10.1007/s11606-010-1560-1
16. PARCHMAN ML, ZEBER JE, PALMER RF. Participatory decision making, patient activation, medication adherence, and intermediate clinical outcomes in type 2 diabetes: A starnet study. Ann Fam Med 2010; 8: 410-417.
https://doi.org/10.1370/afm.1161
17. MIRA JJ, GUILABERT M, PÉREZ-JOVER V, LORENZO S. Barriers for an effective communication around clinical decision making: an analysis of the gaps between doctors' and patients' point of view. Health Expect 2014; 17: 826-839.
https://doi.org/10.1111/j.1369-7625.2012.00809.x
18. CRESPILLO-GARCÍA E, RIVAS-RUIZ F, CONTRERAS FERNÁNDEZ E, CASTELLANO MUÑOZ P, SUÁREZ ALEMÁN G, PÉREZ-TRUEBA E et al. Conocimientos, percepciones y actitudes que intervienen en la adherencia al tratamiento en pacientes ancianos polimedicados desde una perspectiva cualitativa. Rev Calid Asist 2013; 28: 56-62.
https://doi.org/10.1016/j.cali.2012.09.009
19. AL MAHDY H, SEYMOUR DG. How much can elderly patients tell us about their medications? Postgrad Med J 1990; 66: 116-121.
https://doi.org/10.1136/pgmj.66.772.116
20. MIRA JJ, MARTÍNEZ-JIMENO L, OROZCO D, et al. What older complex chronic patients need to know about their everyday medication for safe drug use. Expert Opin Drug Saf 2014; 13: 713-721.
Published
How to Cite
Issue
Section
License
Copyright (c) 2016 Anales del Sistema Sanitario de Navarra
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
La revista Anales del Sistema Sanitario de Navarra es publicada por el Departamento de Salud del Gobierno de Navarra (España), quien conserva los derechos patrimoniales (copyright ) sobre el artículo publicado y favorece y permite la difusión del mismo bajo licencia Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional (CC BY-SA 4.0). Esta licencia permite copiar, usar, difundir, transmitir y exponer públicamente el artículo, siempre que siempre que se cite la autoría y la publicación inicial en Anales del Sistema Sanitario de Navarra, y se distinga la existencia de esta licencia de uso.
