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Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 4/2016

28.04.2015 | Original Article

Patient Activation and Mental Health Care Experiences Among Women Veterans

verfasst von: Rachel Kimerling, Joanne Pavao, Ava Wong

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2016

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Abstract

We utilized a nationally representative survey of women veteran primary care users to examine associations between patient activation and mental health care experiences. A dose–response relationship was observed, with odds of high quality ratings significantly greater at each successive level of patient activation. Higher activation levels were also significantly associated with preference concordant care for gender-related preferences (use of female providers, women-only settings, and women-only groups as often as desired). Results add to the growing literature documenting better health care experiences among more activated patients, and suggest that patient activation may play an important role in promoting engagement with mental health care.
Literatur
Zurück zum Zitat Alegria, M., Canino, G., Rios, R., Vera, M., Calderon, J., Rusch, D., & Ortega, A. N. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatric Services, 53(12), 1547–1555.CrossRefPubMed Alegria, M., Canino, G., Rios, R., Vera, M., Calderon, J., Rusch, D., & Ortega, A. N. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatric Services, 53(12), 1547–1555.CrossRefPubMed
Zurück zum Zitat Alexander, J. A., Hearld, L. R., Mittler, J. N., & Harvey, J. (2011). Patient-physician role relationships and patient activation among individuals with chronic illness. Health Services Research,. doi:10.1111/j.1475-6773.2011.01354.x. Alexander, J. A., Hearld, L. R., Mittler, J. N., & Harvey, J. (2011). Patient-physician role relationships and patient activation among individuals with chronic illness. Health Services Research,. doi:10.​1111/​j.​1475-6773.​2011.​01354.​x.
Zurück zum Zitat Edlund, M. J., Young, A. S., Kung, F. Y., Sherbourne, C. D., & Wells, K. B. (2003). Does satisfaction reflect the technical quality of mental health care? Health Services Research, 38(2), 631–645.CrossRefPubMedPubMedCentral Edlund, M. J., Young, A. S., Kung, F. Y., Sherbourne, C. D., & Wells, K. B. (2003). Does satisfaction reflect the technical quality of mental health care? Health Services Research, 38(2), 631–645.CrossRefPubMedPubMedCentral
Zurück zum Zitat Elwyn, G., Dehlendorf, C., Epstein, R. M., Marrin, K., White, J., & Frosch, D. L. (2014). Shared decision making and motivational interviewing: achieving patient-centered care across the spectrum of health care problems. The Annals of Family Medicine, 12(3), 270–275. doi:10.1370/afm.1615.CrossRefPubMed Elwyn, G., Dehlendorf, C., Epstein, R. M., Marrin, K., White, J., & Frosch, D. L. (2014). Shared decision making and motivational interviewing: achieving patient-centered care across the spectrum of health care problems. The Annals of Family Medicine, 12(3), 270–275. doi:10.​1370/​afm.​1615.CrossRefPubMed
Zurück zum Zitat Frayne, S. M., Phibbs, C. S., Friedman, S. A., Berg, E. A., Ananth, L., Iqbal, S.,… Herrera, L. S. (2013). Sociodemographic Characteristics and Use of VHA Care and Non-VA Care (Fee) (W. s. H. E. Initiative, Trans.) Sourcebook: Women Veterans in the Veterans Health Administration (Vol. 2). Washington, DC: Women Veterans Health Strategic Health Care Group, Department of Veterans Affairs. Frayne, S. M., Phibbs, C. S., Friedman, S. A., Berg, E. A., Ananth, L., Iqbal, S.,… Herrera, L. S. (2013). Sociodemographic Characteristics and Use of VHA Care and Non-VA Care (Fee) (W. s. H. E. Initiative, Trans.) Sourcebook: Women Veterans in the Veterans Health Administration (Vol. 2). Washington, DC: Women Veterans Health Strategic Health Care Group, Department of Veterans Affairs.
Zurück zum Zitat Fukui, S., Salyers, M. P., Matthias, M. S., Collins, L., Thompson, J., Coffman, M., & Torrey, W. C. (2014). Predictors of shared decision making and level of agreement between consumers and providers in psychiatric care. Community Mental Health Journal, 50(4), 375–382. doi:10.1007/s10597-012-9584-0.CrossRefPubMedPubMedCentral Fukui, S., Salyers, M. P., Matthias, M. S., Collins, L., Thompson, J., Coffman, M., & Torrey, W. C. (2014). Predictors of shared decision making and level of agreement between consumers and providers in psychiatric care. Community Mental Health Journal, 50(4), 375–382. doi:10.​1007/​s10597-012-9584-0.CrossRefPubMedPubMedCentral
Zurück zum Zitat Greene, J., Hibbard, J. H., Sacks, R., & Overton, V. (2013). When seeing the same physician, highly activated patients have better care experiences than less activated patients. Health Affairs (Millwood), 32(7), 1299–1305. doi:10.1377/hlthaff.2012.1409.CrossRef Greene, J., Hibbard, J. H., Sacks, R., & Overton, V. (2013). When seeing the same physician, highly activated patients have better care experiences than less activated patients. Health Affairs (Millwood), 32(7), 1299–1305. doi:10.​1377/​hlthaff.​2012.​1409.CrossRef
Zurück zum Zitat Gruman, J., Rovner, M. H., French, M. E., Jeffress, D., Sofaer, S., Shaller, D., & Prager, D. J. (2010). From patient education to patient engagement: implications for the field of patient education. Patient Education and Counseling, 78(3), 350–356. doi:10.1016/j.pec.2010.02.002.CrossRefPubMed Gruman, J., Rovner, M. H., French, M. E., Jeffress, D., Sofaer, S., Shaller, D., & Prager, D. J. (2010). From patient education to patient engagement: implications for the field of patient education. Patient Education and Counseling, 78(3), 350–356. doi:10.​1016/​j.​pec.​2010.​02.​002.CrossRefPubMed
Zurück zum Zitat Hausmann, L. R., Gao, S., Mor, M. K., Schaefer, J. H, Jr, & Fine, M. J. (2013). Understanding racial and ethnic differences in patient experiences with outpatient health care in veterans affairs medical centers. Medical Care, 51(6), 532–539. doi:10.1097/MLR.0b013e318287d6e5.CrossRefPubMed Hausmann, L. R., Gao, S., Mor, M. K., Schaefer, J. H, Jr, & Fine, M. J. (2013). Understanding racial and ethnic differences in patient experiences with outpatient health care in veterans affairs medical centers. Medical Care, 51(6), 532–539. doi:10.​1097/​MLR.​0b013e318287d6e5​.CrossRefPubMed
Zurück zum Zitat Hausmann, L. R., Gao, S., Mor, M. K., Schaefer, J., & Fine, M. J. (2014). patterns of sex and racial/ethnic differences in patient health care experiences in US veterans affairs hospitals. Medical Care, 52(4), 328–335.PubMed Hausmann, L. R., Gao, S., Mor, M. K., Schaefer, J., & Fine, M. J. (2014). patterns of sex and racial/ethnic differences in patient health care experiences in US veterans affairs hospitals. Medical Care, 52(4), 328–335.PubMed
Zurück zum Zitat Hibbard, J. H., & Cunningham, P. J. (2008). How engaged are consumers in their health and health care, and why does it matter? Center for Studying of Health Systems Change Research Brief, 8, 1–9. Hibbard, J. H., & Cunningham, P. J. (2008). How engaged are consumers in their health and health care, and why does it matter? Center for Studying of Health Systems Change Research Brief, 8, 1–9.
Zurück zum Zitat Hibbard, J. H., Greene, J., & Tusler, M. (2009). Improving the outcomes of disease management by tailoring care to the patient’s level of activation. The American journal of managed care, 15(6), 353–360.PubMed Hibbard, J. H., Greene, J., & Tusler, M. (2009). Improving the outcomes of disease management by tailoring care to the patient’s level of activation. The American journal of managed care, 15(6), 353–360.PubMed
Zurück zum Zitat Institute of Medicine, & Committee on Quality of Health Care in America. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington: National Academies Press. Institute of Medicine, & Committee on Quality of Health Care in America. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington: National Academies Press.
Zurück zum Zitat Kimerling, R., Pavao, J., Greene, L., Karpenko, J., Rodriguez, A., Saweikis, M., & Washington, D. L. (2015). Access to mental health care among women veterans: is VA meeting women’s needs? Medical Care, 53(4 Suppl 1), S97–S104. doi:10.1097/MLR.0000000000000272.CrossRefPubMed Kimerling, R., Pavao, J., Greene, L., Karpenko, J., Rodriguez, A., Saweikis, M., & Washington, D. L. (2015). Access to mental health care among women veterans: is VA meeting women’s needs? Medical Care, 53(4 Suppl 1), S97–S104. doi:10.​1097/​MLR.​0000000000000272​.CrossRefPubMed
Zurück zum Zitat Knutsen, E. J., Paryavi, E., Castillo, R. C., & O’Toole, R. V. (2014). Is satisfaction among orthopaedic trauma patients predicted by depression and activation levels? Journal of Orthopaedic Trauma,. doi:10.1097/bot.0000000000000241. Knutsen, E. J., Paryavi, E., Castillo, R. C., & O’Toole, R. V. (2014). Is satisfaction among orthopaedic trauma patients predicted by depression and activation levels? Journal of Orthopaedic Trauma,. doi:10.​1097/​bot.​0000000000000241​.
Zurück zum Zitat Kukla, M., Salyers, M. P., & Lysaker, P. H. (2013). Levels of patient activation among adults with schizophrenia: associations with hope, symptoms, medication adherence, and recovery attitudes. The Journal of Nervous and Mental Disease, 201(4), 339–344. doi:10.1097/NMD.0b013e318288e253.CrossRefPubMed Kukla, M., Salyers, M. P., & Lysaker, P. H. (2013). Levels of patient activation among adults with schizophrenia: associations with hope, symptoms, medication adherence, and recovery attitudes. The Journal of Nervous and Mental Disease, 201(4), 339–344. doi:10.​1097/​NMD.​0b013e318288e253​.CrossRefPubMed
Zurück zum Zitat MacGregor, C., Hamilton, A. B., Oishi, S. M., & Yano, E. M. (2011). Description, development, and philosophies of mental health service delivery for female veterans in the VA: A qualitative study. Women’s Health Issues, 21(4, Supplement), S138–S144.CrossRefPubMed MacGregor, C., Hamilton, A. B., Oishi, S. M., & Yano, E. M. (2011). Description, development, and philosophies of mental health service delivery for female veterans in the VA: A qualitative study. Women’s Health Issues, 21(4, Supplement), S138–S144.CrossRefPubMed
Zurück zum Zitat National Center for Veterans Analysis and Statistics. (2014). Unique veteran users report FY2012 (Department of Veteran Affairs Office of Policy and Planning, Trans.): U.S. Department of Veterans Affairs. National Center for Veterans Analysis and Statistics. (2014). Unique veteran users report FY2012 (Department of Veteran Affairs Office of Policy and Planning, Trans.): U.S. Department of Veterans Affairs.
Zurück zum Zitat National Committee for Quality Assurance. (2013). HEDIS 2014: Healthcare effectiveness data and information set. Washington DC: National Committee for Quality Assurance (NCQA). National Committee for Quality Assurance. (2013). HEDIS 2014: Healthcare effectiveness data and information set. Washington DC: National Committee for Quality Assurance (NCQA).
Zurück zum Zitat Roblin, D. W., Howard, D. H., Junling, R., & Becker, E. R. (2011). An evaluation of the influence of primary care team functioning on the health of Medicare beneficiaries. Medical Care Research and Review, 68(2), 177–201. doi:10.1177/1077558710374619.CrossRefPubMed Roblin, D. W., Howard, D. H., Junling, R., & Becker, E. R. (2011). An evaluation of the influence of primary care team functioning on the health of Medicare beneficiaries. Medical Care Research and Review, 68(2), 177–201. doi:10.​1177/​1077558710374619​.CrossRefPubMed
Zurück zum Zitat Salyers, M. P., Matthias, M. S., Spann, C. L., Lydick, J. M., Rollins, A. L., & Frankel, R. M. (2009). The role of patient activation in psychiatric visits. Psychiatric Services (Washington, D. C.), 60(11), 1535–1539. doi:10.1176/appi.ps.60.11.1535.CrossRef Salyers, M. P., Matthias, M. S., Spann, C. L., Lydick, J. M., Rollins, A. L., & Frankel, R. M. (2009). The role of patient activation in psychiatric visits. Psychiatric Services (Washington, D. C.), 60(11), 1535–1539. doi:10.​1176/​appi.​ps.​60.​11.​1535.CrossRef
Zurück zum Zitat Salyers, M. P., Matthias, M. S., Sidenbender, S., & Green, A. (2013). Patient activation in schizophrenia: insights from stories of illness and recovery. Administration and policy in mental health, 40(5), 419–427. doi:10.1007/s10488-012-0435-7.CrossRefPubMed Salyers, M. P., Matthias, M. S., Sidenbender, S., & Green, A. (2013). Patient activation in schizophrenia: insights from stories of illness and recovery. Administration and policy in mental health, 40(5), 419–427. doi:10.​1007/​s10488-012-0435-7.CrossRefPubMed
Zurück zum Zitat StataCorp. (2007). Stata 10. College Staion, TX. StataCorp. (2007). Stata 10. College Staion, TX.
Zurück zum Zitat Tai-Seale, M., Foo, P. K., & Stults, C. D. (2013). Patients with mental health needs are engaged in asking questions, but physicians’ responses vary. Health Affairs (Millwood), 32(2), 259–267. doi:10.1377/hlthaff.2012.0962.CrossRef Tai-Seale, M., Foo, P. K., & Stults, C. D. (2013). Patients with mental health needs are engaged in asking questions, but physicians’ responses vary. Health Affairs (Millwood), 32(2), 259–267. doi:10.​1377/​hlthaff.​2012.​0962.CrossRef
Zurück zum Zitat Veterans Health Administration. (2014). VHA Blueprint for Excellence. Veterans Health Administration. (2014). VHA Blueprint for Excellence.
Zurück zum Zitat Wong, S. T., Peterson, S., & Black, C. (2011). Patient activation in primary healthcare: a comparison between healthier individuals and those with a chronic illness. Medical Care, 49(5), 469–479.CrossRefPubMed Wong, S. T., Peterson, S., & Black, C. (2011). Patient activation in primary healthcare: a comparison between healthier individuals and those with a chronic illness. Medical Care, 49(5), 469–479.CrossRefPubMed
Zurück zum Zitat Wright, S., Craig, T., Campbell, S., Schaefer, J., & Humble, C. (2006). Patient satisfaction of female and male users of Veterans Health Administration services. Journal of General Internal Medicine, 21, S26–S32.CrossRefPubMedPubMedCentral Wright, S., Craig, T., Campbell, S., Schaefer, J., & Humble, C. (2006). Patient satisfaction of female and male users of Veterans Health Administration services. Journal of General Internal Medicine, 21, S26–S32.CrossRefPubMedPubMedCentral
Metadaten
Titel
Patient Activation and Mental Health Care Experiences Among Women Veterans
verfasst von
Rachel Kimerling
Joanne Pavao
Ava Wong
Publikationsdatum
28.04.2015
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2016
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-015-0653-x

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