Patient Heal Thyself: Reducing Hospital Readmissions with Technology-Enabled Continuity of Care and Patient Activation

• 成果类型: Article
• 署名作者: Queenan, Carrie; Cameron, Kellas; Snell, Alan; Smalley, Julia; Joglekar, Nitin
• 署名单位: University of South Carolina System; University of South Carolina Columbia; State University System of Florida; University of South Florida; Boston University
• 刊物名称: PRODUCTION AND OPERATIONS MANAGEMENT
• ISSN/ISSBN: 1059-1478
• DOI: 10.1111/poms.13080
• 发表日期: 2019
• 页码: 2841-2853
• 关键词: chronic illness care; SELF-MANAGEMENT; employees health; improve care; measure pam; outcomes; disease; interventions; association; provider

摘要

Patients' skills, knowledge, and motivation to actively engage in their health care are assessed with the patient activation measure (PAM). The literature on the role of PAM, when patient counseling is coupled with a technology enabled continuity of care intervention, is scant. We model the patient-health care provider feedback loop and learning through error corrections to explore the relations between continuity of care, PAM and patient readmissions. We test this model using data from a randomized, controlled field experiment. Our data show a direct effect of technology-enabled continuity of care, together with its interaction with PAM, reduces readmissions over the base case without technology enabled continuity of care. Using exploratory analysis, we further show how a machine learning algorithm can be used to predict PAM, that can potentially furnish health care providers with useful information during the process of supporting their patients.