Judith H Hibbard
Datos Biográficos
| ID | 1733148 |
|---|---|
| NOMBRE | Judith H Hibbard |
| NOMBRES | Judith H |
| APELLIDO | Hibbard |
| FIRMA | HIBBARD J H |
| AFILIACIONES | University of Oregon |
| ORCID | 0000-0002-8376-8343 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAS | 134 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1983 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2016 |
| ÍNDICE H | 5 |
Variables associated with patient activation in persons with multiple sclerosis
Identifying variables associated with patient activation in the multiple sclerosis population could serve to facilitate better multiple sclerosis self-management behaviors. Using a cross-sectional survey design, 199 participants were recruited from a multiple sclerosis center in the Southeastern United States. Depression, multiple sclerosis quality of life, and multiple Sclerosis self-efficacy were all significantly correlated with patient activa…
What The Evidence Shows About Patient Activation
Patient engagement is an increasingly important component of strategies to reform health care. In this article we review the available evidence of the contribution that patient activation-the skills and confidence that equip patients to become actively engaged in their health care-makes to health outcomes, costs, and patient experience. There is a growing body of evidence showing that patients who are more activated have better health outcomes an…
Why Does Patient Activation Matter? An Examination of the Relationships Between Patient Activation and Health-Related Outcomes
The development and testing of a measure assessing clinician beliefs about patient self‐management
Background Clinicians have been slow to embrace support for patient self‐management. Objective To explore clinicians’ beliefs about patient self‐management and specifically assess which patient competencies clinicians believe are most important for their patients. Methods Using items adapted from the Patient Activation Measure (PAM) as a basis, a new measure that assesses clinicians’ beliefs about patient self‐management was created using Rasch a…
Less Is More in Presenting Quality Information to Consumers
Much effort has been put into improving measures of health care quality. Although early research suggested that consumers made little use of quality reports, most reports were based on nonstandardized measures and were not user friendly. Information presentation approaches, however, will have a significant influence on what information is attended and used. The present research examines whether information presentation methods differentially infl…
Numeracy Skill And The Communication, Comprehension, And Use Of Risk-Benefit Information
Current health care policy emphasizes improving health outcomes and the efficacy of health care delivery by supporting informed consumer choices. At the same time, health information often involves uncertainty, and many people may lack the skills and knowledge to process this information, manage their health and health care, and make informed choices. Innumeracy, an element of poor health literacy, is associated with the comprehension and use of …
Development and Testing of a Short Form of the Patient Activation Measure
Objective. The Patient Activation Measure (PAM) is a 22‐item measure that assesses patient knowledge, skill, and confidence for self‐management. The measure was developed using Rasch analyses and is an interval level, unidimensional, Guttman‐like measure. The current analysis is aimed at reducing the number of items in the measure while maintaining adequate precision. Study Methods. We relied on an iterative use of Rasch analysis to identify item…
Development of the Patient Activation Measure (PAM)
Background. Controlling costs and achieving health care quality improvements require the participation of activated and informed consumers and patients. Objectives. We describe a process for conceptualizing and operationalizing what it means to be “activated” and delineate the process we used to develop a measure for assessing “activation,” and the psychometric properties of that measure. Methods. We used the convergence of the findings from a na…
A Research Agenda to Advance Quality Measurement and Improvement
BACKGROUND: In developing a conceptual framework for the design of a national quality measurement and reporting system (NQMRS), the Strategic Framework Board (SFB) recommends that such a system be built on a strong evidence base. OBJECTIVES: To identify critical gaps in the evidence needed for a fully functional NQMRS and to recommend a starting point for the development of a research agenda. RESEARCH DESIGN: Selective review of literature in qua…
Engaging Health Care Consumers to Improve the Quality of Care
Only the informed choice role is being actively promoted for consumers. Increasing the coproducer role would require system and provider change, as well as an increase in consumers' skills and knowledge and a change in their understanding of their appropriate role. Harnessing the power of consumers to create change will depend on the degree to which all these roles are encouraged and supported
Aging and decision‐making competence
Older adults need to maintain strong decision‐making capabilities as they age. However, we know little about how age‐related physical and psychological changes affect older adults' judgment and decision processes. This paper reports the results of research comparing older versus younger adults' performance on evaluation and choice tasks about health‐plan options. In particular, comprehension and consistency in judgments (across separate versus jo…
Similarities and Differences in Choosing Health Plans
BACKGROUND: Increasingly, consumers have multiple health insurance options. New information is being developed to help consumers with these choices. OBJECTIVES: To study similarities and differences in how the publicly and privately insured choose health plans. To explore the effect of traditional enrollment materials and reports developed by the Consumer Assessment of Health Plans Study (CAHPS) on consumers' perceptions and decision-making. RESE…
Does Providing Consumer Health Information Affect Self-Reported Medical Utilization? Evidence From the Healthwise Communities Project
OBJECTIVE: To determine whether providing health information to residents of Boise ID had an effect on their self-reported medical utilization. RESEARCH DESIGN: The Healthwise Communities Project (HCP) evaluation followed a quasi-experimental design. SUBJECTS: Random households in metropolitan zip codes were mailed questionnaires before and after the HCP. A total of 5,909 surveys were returned. MEASURES: The dependent variable was self-reported n…
Women's Employment History and Their Post-Retirement Health and Resources
The purpose of this study is to assess the degree to which the advantages apparently accruing to employed women are maintained into the post-retirement years. That is, do women who were employed cany with them into the retirement years more social and fmancial resources and do they maintain better health than women who remained largely outside the work force? The importance of this issue increases as greater numbers of women enter and remain in t…
The gentle legions
Enhancing Women's Partnership with Health Providers in Hormone Replacement Therapy Decision-Making
In the next two decades nearly 40 million women will reach menopause. The women now approaching menopause are different in a variety of ways from previous cohorts of women. More women are surviving to this age with better health and functioning. They are better educated and the first cohort of women to have been employed outside the home throughout most their adult years. This cohort of women expect more from the health care system. They want far…
Health effects of discontinuities in female employment and marital status
The quality of social roles as predictors of morbidity and mortality
Determinants of Physician Acceptance of Assignment
This study examines the degree to which patient characteristics predict physicians' ad hoc decisions regarding acceptance of Medicare assignment. The study is based on a random sample of Medicare Part B enrollees living independently in the Salem, Oregon metropolitan area. Beneficiary characteristics and beneficiary reports of physician behavior are obtained from an hour long face-to-face survey. The findings show that patient characteristics are…
Women's Health Counts
Effect of domestic and occupational roles on morbidity and mortality
Does the Dissemination of Comparative Data on Physician Fees Affect Consumer Use of Services
The purpose of this study is to empirically examine the effect of disseminating physician-fee information on consumer behavior. Using an experimental design, the effect of access to physician-fee information on rates of doctor-office visits, expenditures for ambulatory care, and costs per visit are examined. The study includes two research samples: a random sample of 658 state government employees and a random sample of 717 Medicare Part B enroll…
Communicable disease in day-care facilities
Consumerism in Health Care Prevalence and Predictors
Current efforts to contain health care costs include a variety of strategies aimed at the users of health services. These approaches attempt to encourage users to be more cost-conscious and to shop for lower-cost services and more efficient health care plans. The primary method for achieving this is by increasing the consumer's exposure to the cost of health insurance and the cost of care. The assumption is that approaches that increase cost-sens…
Age Differences in the Use of Medical Care in an HMO
The goal of this study was to determine the factors that are related to utilization rates among older compared with younger enrollees in a health maintenance organization (HMO). Andersen's behavioral model was used as the conceptual framework for examining utilization rates. The approach was to determine the relative importance of predisposing, enabling, and medical need factors in explaining utilization rates among younger and older enrollees of…
Gender roles, illness orientation and use of medical services
The quality of social roles as predictors of morbidity and mortality
Effect of domestic and occupational roles on morbidity and mortality
Aging and decision‐making competence
Older adults need to maintain strong decision‐making capabilities as they age. However, we know little about how age‐related physical and psychological changes affect older adults' judgment and decision processes. This paper reports the results of research comparing older versus younger adults' performance on evaluation and choice tasks about health‐plan options. In particular, comprehension and consistency in judgments (across separate versus jo…
Health effects of discontinuities in female employment and marital status
Variables associated with patient activation in persons with multiple sclerosis
Identifying variables associated with patient activation in the multiple sclerosis population could serve to facilitate better multiple sclerosis self-management behaviors. Using a cross-sectional survey design, 199 participants were recruited from a multiple sclerosis center in the Southeastern United States. Depression, multiple sclerosis quality of life, and multiple Sclerosis self-efficacy were all significantly correlated with patient activa…
Gender roles, illness orientation and use of medical services
Age Differences in the Use of Medical Care in an HMO
The goal of this study was to determine the factors that are related to utilization rates among older compared with younger enrollees in a health maintenance organization (HMO). Andersen's behavioral model was used as the conceptual framework for examining utilization rates. The approach was to determine the relative importance of predisposing, enabling, and medical need factors in explaining utilization rates among younger and older enrollees of…
Communicable disease in day-care facilities
Consumerism in Health Care Prevalence and Predictors
Current efforts to contain health care costs include a variety of strategies aimed at the users of health services. These approaches attempt to encourage users to be more cost-conscious and to shop for lower-cost services and more efficient health care plans. The primary method for achieving this is by increasing the consumer's exposure to the cost of health insurance and the cost of care. The assumption is that approaches that increase cost-sens…
Does the Dissemination of Comparative Data on Physician Fees Affect Consumer Use of Services
The purpose of this study is to empirically examine the effect of disseminating physician-fee information on consumer behavior. Using an experimental design, the effect of access to physician-fee information on rates of doctor-office visits, expenditures for ambulatory care, and costs per visit are examined. The study includes two research samples: a random sample of 658 state government employees and a random sample of 717 Medicare Part B enroll…
Women's Health Counts
Effect of domestic and occupational roles on morbidity and mortality
Determinants of Physician Acceptance of Assignment
This study examines the degree to which patient characteristics predict physicians' ad hoc decisions regarding acceptance of Medicare assignment. The study is based on a random sample of Medicare Part B enrollees living independently in the Salem, Oregon metropolitan area. Beneficiary characteristics and beneficiary reports of physician behavior are obtained from an hour long face-to-face survey. The findings show that patient characteristics are…
Enhancing Women's Partnership with Health Providers in Hormone Replacement Therapy Decision-Making
In the next two decades nearly 40 million women will reach menopause. The women now approaching menopause are different in a variety of ways from previous cohorts of women. More women are surviving to this age with better health and functioning. They are better educated and the first cohort of women to have been employed outside the home throughout most their adult years. This cohort of women expect more from the health care system. They want far…
Health effects of discontinuities in female employment and marital status
The quality of social roles as predictors of morbidity and mortality
The gentle legions
Women's Employment History and Their Post-Retirement Health and Resources
The purpose of this study is to assess the degree to which the advantages apparently accruing to employed women are maintained into the post-retirement years. That is, do women who were employed cany with them into the retirement years more social and fmancial resources and do they maintain better health than women who remained largely outside the work force? The importance of this issue increases as greater numbers of women enter and remain in t…
Does Providing Consumer Health Information Affect Self-Reported Medical Utilization? Evidence From the Healthwise Communities Project
OBJECTIVE: To determine whether providing health information to residents of Boise ID had an effect on their self-reported medical utilization. RESEARCH DESIGN: The Healthwise Communities Project (HCP) evaluation followed a quasi-experimental design. SUBJECTS: Random households in metropolitan zip codes were mailed questionnaires before and after the HCP. A total of 5,909 surveys were returned. MEASURES: The dependent variable was self-reported n…
Aging and decision‐making competence
Older adults need to maintain strong decision‐making capabilities as they age. However, we know little about how age‐related physical and psychological changes affect older adults' judgment and decision processes. This paper reports the results of research comparing older versus younger adults' performance on evaluation and choice tasks about health‐plan options. In particular, comprehension and consistency in judgments (across separate versus jo…
Similarities and Differences in Choosing Health Plans
BACKGROUND: Increasingly, consumers have multiple health insurance options. New information is being developed to help consumers with these choices. OBJECTIVES: To study similarities and differences in how the publicly and privately insured choose health plans. To explore the effect of traditional enrollment materials and reports developed by the Consumer Assessment of Health Plans Study (CAHPS) on consumers' perceptions and decision-making. RESE…
A Research Agenda to Advance Quality Measurement and Improvement
BACKGROUND: In developing a conceptual framework for the design of a national quality measurement and reporting system (NQMRS), the Strategic Framework Board (SFB) recommends that such a system be built on a strong evidence base. OBJECTIVES: To identify critical gaps in the evidence needed for a fully functional NQMRS and to recommend a starting point for the development of a research agenda. RESEARCH DESIGN: Selective review of literature in qua…
Engaging Health Care Consumers to Improve the Quality of Care
Only the informed choice role is being actively promoted for consumers. Increasing the coproducer role would require system and provider change, as well as an increase in consumers' skills and knowledge and a change in their understanding of their appropriate role. Harnessing the power of consumers to create change will depend on the degree to which all these roles are encouraged and supported
Development of the Patient Activation Measure (PAM)
Background. Controlling costs and achieving health care quality improvements require the participation of activated and informed consumers and patients. Objectives. We describe a process for conceptualizing and operationalizing what it means to be “activated” and delineate the process we used to develop a measure for assessing “activation,” and the psychometric properties of that measure. Methods. We used the convergence of the findings from a na…
Development and Testing of a Short Form of the Patient Activation Measure
Objective. The Patient Activation Measure (PAM) is a 22‐item measure that assesses patient knowledge, skill, and confidence for self‐management. The measure was developed using Rasch analyses and is an interval level, unidimensional, Guttman‐like measure. The current analysis is aimed at reducing the number of items in the measure while maintaining adequate precision. Study Methods. We relied on an iterative use of Rasch analysis to identify item…
Less Is More in Presenting Quality Information to Consumers
Much effort has been put into improving measures of health care quality. Although early research suggested that consumers made little use of quality reports, most reports were based on nonstandardized measures and were not user friendly. Information presentation approaches, however, will have a significant influence on what information is attended and used. The present research examines whether information presentation methods differentially infl…
Numeracy Skill And The Communication, Comprehension, And Use Of Risk-Benefit Information
Current health care policy emphasizes improving health outcomes and the efficacy of health care delivery by supporting informed consumer choices. At the same time, health information often involves uncertainty, and many people may lack the skills and knowledge to process this information, manage their health and health care, and make informed choices. Innumeracy, an element of poor health literacy, is associated with the comprehension and use of …
The development and testing of a measure assessing clinician beliefs about patient self‐management
Background Clinicians have been slow to embrace support for patient self‐management. Objective To explore clinicians’ beliefs about patient self‐management and specifically assess which patient competencies clinicians believe are most important for their patients. Methods Using items adapted from the Patient Activation Measure (PAM) as a basis, a new measure that assesses clinicians’ beliefs about patient self‐management was created using Rasch a…
Why Does Patient Activation Matter? An Examination of the Relationships Between Patient Activation and Health-Related Outcomes
What The Evidence Shows About Patient Activation
Patient engagement is an increasingly important component of strategies to reform health care. In this article we review the available evidence of the contribution that patient activation-the skills and confidence that equip patients to become actively engaged in their health care-makes to health outcomes, costs, and patient experience. There is a growing body of evidence showing that patients who are more activated have better health outcomes an…
Medicine (22 obras) · Psychology (14 obras) · Environmental health (12 obras) · Gerontology (11 obras) · Health care (11 obras) · Family medicine (9 obras) · Population (9 obras) · Business (8 obras) · Demography (8 obras) · Nursing (8 obras)