Poster Presentation Australian Diabetes Society and the Australian Diabetes Educators Association Annual Scientific Meeting 2017

Use of Patient Activation Measure TM (PAM) 10 question survey to determine and improve level of patient engagement in the Diabetes Alliance Integration Initiative in Hunter New England Local Health District (HNELHD) (#243)

Mahbub Hasan 1 2 , Martha Parsons 2 , Shamasunder Acharya 1 2 , Judy Luu 1 2 , Annalise Philcox 2 3 , Belinda Suthers 2 4 , Margaret Lynch 5
  1. Department of Endocrinology , John Hunter Hospital, Newcastle, NSW, AUS
  2. The Hunter Alliance, HNELHD, Newcastle, NSW, AUS
  3. Department of Endocrinology , Calvary Mater Newcastle, Newcastle, NSW, AUS
  4. Hunter Medical Research Institute, HNELHD, Newcastle, NSW, AUS
  5. Primary Health Network, Hunter New England and Central Coast, HNELHD, Newcastle, NSW, AUS

BACKGROUND

HNELHD provides health care to 873,741 people across an area the size of England. Of these 10.5% have a diagnosis of diabetes. Since 2015 a program known now as the Diabetes Alliance Integration Initiative has been rolled out across the district whereby a tertiary services team consisting of Endocrinologist and Diabetes Educator consult moderate to high risk patients with Type 2 diabetes in a case conference model with their known General Practitioner and Practice Nurse. PAM 10TM is an instrument that assesses consumer’s knowledge, skills and confidence for self-management. This PAMTM response report is used to improve engagement of this diabetic population for improved outcomes.

AIMS

The aim of the use of PAM TM is to understand the level of engagement of this population group in their health management and subsequently identify the areas where intervention is required for accelerated engagement.

METHODS

Each patient completes a PAM survey prior to their appointment. The survey is then used to tailor the consultation of the individual in a way that will support patient activation.

RESULTS

Between February 2017 to May 2017, 149 PAM responses were recorded. 38% of patients scored a level 2 indicating they lack basic knowledge about their condition, treatment options and have low confidence in their ability to manage health. 18% of patients indicated they did not know what each of their medications do. 39% of patients reported difficulty maintaining good lifestyle choices. 30% patients are not confident about figuring solutions if they face new issues with their own health.

CONCLUSION

Understanding our local population level of activation will help to make efficient use of limited resources to support initiatives that target improvement in patients’ self-management and thereby improve the health outcome.

 

Reference:

Insignia Health Patient Activation Measure (PAM) 10TM   http://www.insigniahealth.com/products/pam-survey