Patients' Progress and Confidence Addressing Root Causes of Poor Health in Primary Care.
Ann Fam Med
; 21(Suppl 1)2023 Jan 01.
Article
em En
| MEDLINE
| ID: mdl-38226950
ABSTRACT
Context Patients with multiple chronic conditions (MCC) may have unmet behavioral, mental, and social needs which can be difficult to address in primary care. Care planning provides a framework for patients to be screened, collaborate on a care plan, and access a patient navigator who can support them achieving their personal health goals. Objective:
To compare patients' progress and confidence in addressing personal care plans for different topics. Study Design andAnalysis:
Clinician level randomized control trial and descriptive analyses. Dataset My Own Health Report (MOHR) study and navigator field notes. Population Studied As part of a randomized controlled trial (RCT) to evaluate a feasible approach to patient care planning, 24 clinicians from 12 practices in the Virginia Ambulatory Care Outcomes Research Network (ACORN) in the Greater Richmond metro and the Northern Virginia areas participated in a care planning intervention. 91 patients in the intervention arm received support from a patient navigator for making and working on a goal. We focused on patients with uncontrolled chronic conditions that have complex needs. Intervention/Instrument Community-clinical linkage support and navigator field notes in My Own Health Report (MOHR). OutcomeMeasures:
We determined confidence and progress ratings (ranked by patients on 1-10 point scale), health risk assessment responses, and care plan topics selected by patients.Results:
Patients feel more confident addressing nutrition than weight loss (mean = 8.07 vs 6.31, p=0.0031). Patients tended to report better prior progress on nutrition care plans (mean = 3.80) than physical activity (mean =2.95, p=0.0024) and weight loss (mean=2.93, p=0.004).Conclusions:
Helping patients create care plans on topics they feel most comfortable addressing may better address root causes of poor health associated with chronic conditions. Connecting them with a patient navigator for the short-term may have long-term benefits for patients and care teams.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Emoções
/
Múltiplas Afecções Crônicas
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Guideline
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Ann Fam Med
Assunto da revista:
MEDICINA DE FAMILIA E COMUNIDADE
Ano de publicação:
2023
Tipo de documento:
Article