Raising low 'patient activation' rates among Hispanic immigrants may equal expanded coverage in reducing access disparities.

There is a growing consensus that activating consumers to become better managers of their health is an essential component of US health care reform. We measured how activated blacks, whites, and Hispanics are-that is, how confident, skillful, and knowledgeable they are about taking an active role in improving their health and health care. We found that patient activation among blacks and Hispanics was low, relative to that of whites. For example, 24.8 percent of Hispanics were at the highest level of patient activation, compared to 39.5 percent of blacks and 45.3 percent of whites. Among Hispanic immigrants, low acculturation and lack of familiarity with the US health care system contribute to low activation. The findings indicate that increasing activation levels among Hispanic immigrants may be as important as expanding insurance coverage in reducing disparities in unmet medical need.

[1]  K. Lorig,et al.  The Internet Diabetes Self-Management Workshop for American Indians and Alaska Natives , 2011, Health promotion practice.

[2]  W. Sribney,et al.  The Role of Patient Activation on Patient–Provider Communication and Quality of Care for US and Foreign Born Latino Patients , 2009, Journal of General Internal Medicine.

[3]  R. E. Hoye,et al.  Is Patient Activation Associated With Future Health Outcomes and Healthcare Utilization Among Patients With Diabetes? , 2009, The Journal of ambulatory care management.

[4]  Min Xi,et al.  Patient Perception , Preference and Participation Measuring self-management of patients ’ and employees ’ health : Further validation of the Patient Activation Measure ( PAM ) based on its relation to employee characteristics § , 2009 .

[5]  Judith H Hibbard,et al.  Improving the outcomes of disease management by tailoring care to the patient's level of activation. , 2009, The American journal of managed care.

[6]  M. Alegría,et al.  Patient—Provider Communication , 2009, Health education & behavior : the official publication of the Society for Public Health Education.

[7]  E. Mackenzie,et al.  Patient Activation and Adherence to Physical Therapy in Persons Undergoing Spine Surgery , 2008, Spine.

[8]  D. Roblin,et al.  Translating Primary Care Practice Climate into Patient Activation: The Role of Patient Trust in Physician , 2008, Medical care.

[9]  S. Normand,et al.  Evaluation of a Patient Activation and Empowerment Intervention in Mental Health Care , 2008, Medical care.

[10]  Judith H Hibbard,et al.  Do increases in patient activation result in improved self-management behaviors? , 2007, Health services research.

[11]  Jim Bellows,et al.  Is Patient Activation Associated With Outcomes of Care for Adults With Chronic Conditions? , 2007, The Journal of ambulatory care management.

[12]  Judith H Hibbard,et al.  Development and testing of a short form of the patient activation measure. , 2005, Health services research.

[13]  J. Hadley,et al.  The contribution of insurance coverage and community resources to reducing racial/ethnic disparities in access to care. , 2003, Health services research.