What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs

Hibbard, Judith H.; Greene, Jessica

doi:10.1377/hlthaff.2012.1061

Cited by 1,787Patient Satisfaction in HealthcarePatient-Provider Communication in HealthcareMental Health and Patient Involvement

What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs

Hibbard, Judith H., Greene, Jessica·2013·Health Affairs

DOI 10.1377/hlthaff.2012.1061

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Abstract

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 and care experiences, but there is limited evidence to date about the impact on costs. Emerging evidence indicates that interventions that tailor support to the individual's level of activation, and that build skills and confidence, are effective in increasing patient activation. Furthermore, patients who start at the lowest activation levels tend to increase the most. We conclude that policies and interventions aimed at strengthening patients' role in managing their health care can contribute to improved outcomes and that patient activation can-and should-be measured as an intermediate outcome of care that is linked to improved outcomes.

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Patients in an active role tend to have better health outcomes and care experiences, and engagement itself can be considered as an intermediate outcome.
“Patients in an active role tend to have better health outcomes and care experiences, and engagement itself can be considered as an intermediate outcome, particularly where related to improved clinical outcomes.1010”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [1010]

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Authors: Hibbard, J. H., & Greene, J.
Affiliations: University of Oregon (US)
George Washington University (US)
ORCID: Hibbard, Judith H.
Greene, Jessica
Venue: Health Affairs
Publisher: Health Affairs Publishing, LLC
Published: 2013-02
Volume: 32
Issue: 2
Pages: 207-214
ISSN: 0278-2715 (ISSN-L)
1544-5208
DOI: 10.1377/hlthaff.2012.1061
OpenAlex: W2145225199
Cited by: 1,787
References: 50
Citations by year: 2026: 94 · 2025: 112 · 2024: 116 · 2023: 135 · 2022: 157 · 2021: 150 · 2020: 176 · 2019: 163 · 2018: 165 · 2017: 174 · 2016: 137 · 2015: 103 · 2014: 64 · 2013: 36
FWCI: 205.28
Type: journal article
Language: en
Open access: closed
Locations: Health Affairs (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
Keywords: patient activation, patient engagement, health outcomes, patient experience, health care costs, personalized interventions, patient self-management, intermediate outcomes, health care reform
MeSH terms: Cost Control, Delivery of Health Care, Humans, Patient Participation, Problem Solving, Quality of Health Care, Self Care, Social Support, Health Care Costs, Patient Satisfaction, Health Care Reform

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What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs

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