Hospital admissions, emergency department utilisation and patient activation for self-management among people with diabetes

Begum, Nelufa, Donald, Maria, Ozolins, Ieva Z and Dower, Jo (2011) Hospital admissions, emergency department utilisation and patient activation for self-management among people with diabetes. Diabetes Research and Clinical Practice, 93 2: 260-267. doi:10.1016/j.diabres.2011.05.031


Author Begum, Nelufa
Donald, Maria
Ozolins, Ieva Z
Dower, Jo
Title Hospital admissions, emergency department utilisation and patient activation for self-management among people with diabetes
Journal name Diabetes Research and Clinical Practice   Check publisher's open access policy
ISSN 0168-8227
1872-8227
Publication date 2011-08-01
Sub-type Article (original research)
DOI 10.1016/j.diabres.2011.05.031
Volume 93
Issue 2
Start page 260
End page 267
Total pages 8
Place of publication Shannon, Ireland
Publisher Elsevier Ireland
Collection year 2012
Language eng
Formatted abstract
Aims: To assess the relationship between patient activation for self-management and admissions to hospital or attendances at emergency departments among people with diabetes, after controlling for other known associations.
Methods: Patients were randomly selected from Australia’s National Diabetes Services Scheme and invited to participate in the Living with Diabetes Study, which is a longitudinal survey providing a comprehensive examination of health care utilisation, well-being and disease progression. Data was collected for 3951 participants.
Results: Outcome events were defined as 1 or more hospitalization and 1 or more visits to an emergency department in the preceding 12 months. Logistic regression analyses showed six variables remained significantly associated with both outcomes: age, income, disease duration and severity, current depression and PAM stage. Patients at PAM stage 1 were 1.4 times more likely to be hospitalised ( p = 0.023) and 1.3 times more likely to have visited emergency ( p = 0.049) compared to those at stage 4.
Conclusions: Low levels of activation are associated with higher utilisation of hospital
resources even after controlling for relevant factors such as disease severity and co-morbid depression. Most will be gained by moving patients from PAM stage 1 to a higher level of activation.
Keyword Patient activation
Self-management
Diabetes
Health service utilisation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 24 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 28 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sun, 04 Sep 2011, 11:11:03 EST by System User on behalf of School of Public Health