Can Incentives Improve Medicaid Patient Engagement and Prevent Chronic Diseases?

Abstract Background: Despite the importance of patient engagement in health care decision-making in the care of patients with chronic diseases, there is limited information about it and the factors affecting it in Ethiopia in general and in the Public Hospitals of West Shoa in particular. Thus this study is designed to assess the engagement of patients with selected chronic non-communicable diseases in health care decision making and associated factors in public hospitals of West Shoa Zone, Oromia, Ethiopia.Methods: Facility-based cross-sectional study design was used. Systematic sampling was used for the selection of study participants from June 7 – July 26, 2020. Standardized, pretested, and structured Patient Activation Measure was used to measure patient engagement in healthcare decision-making. Descriptive analysis was done to determine the magnitude of patient engagement in health care decision-making. Multivariate logistic regression analysis was used to determine factors associated with patients’ engagement in the health care decision-making process. Adjusted odds ratio with a 95% confidence interval was calculated to measure the strength of association. Statistical significance was declared at p<0.05. The results were presented by tables and graphs.Results: A total of 406 patients with chronic diseases participated in the study yielding a response rate of 96.2%. Less than a fifth [19.5% (95% CI: 15.5, 23.6)] of participants in the study area had a high engagement in their health care decision-making. Educational level (college or above) [AOR=5.2, 95% CI (1.76-15.46)], duration of diagnosis >5 years [AOR= 1.8, 95% CI (1.03-3.2)], health literacy [AOR=1.15, 95% CI (1.06-1.24)], autonomy preference in decision making [AOR=1.35, 95% CI (1.03-1.96)] were factors significantly associated with participants’ engagement in health care decision making among patients with chronic diseases. Conclusion- Low number of respondents had a high engagement in their health care decision-making. Preference for autonomy in decision making, educational level, health literacy, duration of diagnosis with the disease were factors associated with patient engagement in health care decision making among patients with chronic diseases in the study area. Thus individualized patient-centered care and patient empowerment is essential among patients with chronic non-communicable diseases.

Download Full-text

Potential reach of mobile health for educating, empowering and engaging chronically diseased patients: evidence from a survey in Egypt

10.31219/osf.io/djhgv ◽

2019 ◽

Author(s):

Rehab A. Rayan

Keyword(s):

Diabetes Mellitus ◽

Health Literacy ◽

Patient Education ◽

Chronic Diseases ◽

Mobile Devices ◽

Mobile Health ◽

Patient Engagement ◽

Self Management ◽

Healthcare Technology ◽

Multiple Interventions

Patient education includes multiple interventions for teaching patients about their health to improve their outcomes. The term has evolved to the more active terms (patient engagement and empowerment). Patients, who are diagnosed with chronic diseases that cost patients lifelong treatmentand dangerous complications (e.g. Diabetes mellitus) need to be responsible for their health by self-management. With more computers and mobile devices owners globally, telehealth offers promising healthcare technology interventions to improve the patient’s health literacy.

Download Full-text

The FOODia-Net Protocol

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.837 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

E A Graps ◽

R Giuliani ◽

G Graffigna ◽

C Bosio ◽

G Damiani ◽

...

Keyword(s):

Chronic Diseases ◽

Patient Engagement ◽

Social Needs ◽

Diabetic Patients ◽

Cross Sectional ◽

Web Based ◽

Skill Mix ◽

Food Literacy ◽

Italian Regions ◽

The Creation

Abstract The increasing of chronic diseases represents a worldwide issue and conceiving effective operating models of preventive care looks mandatory to satisfy new health and social needs. It is known from Evidence-Based Medicine that to combine a multidisciplinary/multiprofessional care approach with the promotion of patients’ health literacy and correct lifestyle can improve chronic diseases management at global level. Five Italian Regions are currently collaborating in the framework of the National Centre for Diseases Prevention and Control Research Call funded by the Italian Ministry of Health. The Project ultimate goal is the implementation of an innovative skill-mix-change operating Protocol aimed to promote patient engagement and food literacy about diabetes and its complications. To pursuit this objective and to conduct the Project dissemination activities, the creation of a dedicated web-based platform is scheduled. The assessment of the effectiveness and sustainability of the whole Project is foreseen. A non-systematic review of available publications about existing skill-mix-change approaches designed to promote food literacy and patient engagement has been performed and a cross-sectional study to investigate food literacy of diabetic patients has been drawn up. It was approved by Local Review Board in February 2020. Meanwhile a requirements audit among Partners has been carried out to outline the ICT framework for commissioning the creation of the web-based platform to support dissemination activities. The Project is ongoing. With the aim to preliminary map existing educational initiatives on diabetes an initial scenario analysis shows that: counselling initiatives are performed in 89% of GPs groups; patient engagement initiatives in 52% and training initiatives in 58%. Training initiatives for professionals take place in 27% of clinics; at least 1 initiative, on diabetes prevention or food literacy promotion, is carried out in each of the 9 Associations registered.

Download Full-text