Individueller Patientennutzen im „Gesunden Kinzigtal“ – Zwischenergebnisse einer Trendstudie

Siegel, Achim; Niebling, Wilhelm

doi:10.1016/j.zefq.2017.12.003

Cited by 8 publications

(9 citation statements)

References 16 publications

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“…The questionnaire contained 75 items. This cross-sectional survey was part of a trend study [16] in which the changes in GK members' subjective health status, perceptions etc. were to be monitored.…”

Section: Data Collectionmentioning

confidence: 99%

“…At the time of the survey, about 70,000 people were living in the region. Almost half of them-about 33,000 persons-were insured by either AOK BW or SVLFG and thus were entitled to enroll into GK [16]. In November 2016, about 10,000 people were active members of GK.…”

Section: Introductionmentioning

confidence: 99%

“…To reach the first two components of the 'Triple Aim', the GK management attempts-on the one hand-to strengthen and rationalize the cooperation between the various healthcare providers across professions and sectors and-on the other hand-to implement special prevention and health promotion programs. One very important field of action is to empower and activate patients and help them improve their health literacy [13,16].…”

Section: Introductionmentioning

confidence: 99%

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The Relationship between Health Literacy, Quality of Life, and Subjective Health: Results of a Cross-Sectional Study in a Rural Region in Germany

Ehmann¹,

Groene

Siegel³

2020

IJERPH

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Low health literacy is associated with poorer health and quality of life. An open question is whether a regional integrated healthcare system whose management strives to enable and empower its members with regard to health issues can contribute to a higher level of health literacy in the population. Against this background, in a cross-sectional study we surveyed a random selection of members of an integrated healthcare system in southwestern Germany (n = 180). The standardized questionnaire included, inter alia, questions on health literacy and subjective health. In this sample we wanted to (1) determine the proportion of respondents with sufficient health literacy and (2) investigate whether the association between health literacy and quality of life and subjective health status—as found in other studies—can be replicated. In our sample a health literacy score could be calculated in 126 subjects (70%). A sufficient level of health literacy was detected in 62% of respondents. Confirming the findings of a meta-analysis based on international studies, we found moderate correlations between health literacy and quality of life (r = 0.41) and health literacy and subjective health status (r = 0.40); these correlations hardly decreased when we controlled for various sociodemographic characteristics. As the proportion of respondents with sufficient health literacy was higher in our sample than in comparable studies conducted in Germany, we may hypothesize that an integrated healthcare system like the one we surveyed could have contributed to increased health literacy in the population. Thus, it could be worthwhile to investigate this research question with a more rigorous study design and a larger sample.

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Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Relationship between Health Literacy, Quality of Life, and Subjective Health: Results of a Cross-Sectional Study in a Rural Region in Germany

Ehmann¹,

Groene

Siegel³

2020

IJERPH

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“…The piloted items were part of a more comprehensive survey in a trend study [16] with registered ‘Gesundes Kinzigtal’ members. The study had been positively reviewed by the Ethics Committee of the University of Freiburg (Az.…”

Section: Methodsmentioning

confidence: 99%

“…The reason for the present study was our experience with an own trend study, in which we surveyed patient-related outcomes in an integrated healthcare system in Germany [16]. Here, we originally wanted to include a measure of either patient activation or patient enablement as these were strategic aims of the integrated healthcare system management.…”

Section: Introductionmentioning

confidence: 99%

PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version)

Siegel¹,

Ehmann²,

Meyer

et al. 2019

IJERPH

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Background: The purpose of our study was to develop and psychometrically test a German-language survey instrument that measures patient enablement generically and in greater detail than previous instruments. Methods: A multidisciplinary team developed 13 items to capture individual aspects of patient enablement (PEN-13). A pre-test with 26 subjects was followed by a random sample survey of N = 1168 subjects. An exploratory factor analysis was conducted in a random split-half sample of the data to explore PEN-13’s factor structure; a confirmatory factor analysis was conducted in the validation sample. The internal consistency of the factors was evaluated using Cronbach’s alpha, PEN-13’s construct validity was checked by means of additional hypothesis testing. Results: The two factors self-management and patient-practitioner interaction, detected in the exploratory analysis, were confirmed with a few modifications in the confirmatory factor analysis, with the comparative fit index (CFI) amounting to 0.903. The Cronbach’s alpha values of those two factors amounted to α = 0.90 and α = 0.82, respectively. The correlations of the PEN-13 score with the ’general self-efficacy’ and ’health literacy’ (HLS-EU-Q16) scores further confirmed its construct validity; the respective correlation coefficients amounted to 0.57 and 0.60. Conclusion: The German version of the survey instrument Patient Enablement Scale—13 items (PEN-13) shows acceptable psychometric properties. Practical implications: PEN-13 seems particularly suitable for health services research purposes. We recommend checking the results in another sample as well as evaluating its responsiveness to enablement-enhancing interventions.

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Value-based Health Care – Impulse und Implikationen für den deutschen Arzneimittelmarkt

Tunder¹,

Ober²

2020

Market Access Management Für Pharma- Und Medizinprodukte

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Individueller Patientennutzen im „Gesunden Kinzigtal“ – Zwischenergebnisse einer Trendstudie

Cited by 8 publications

References 16 publications

The Relationship between Health Literacy, Quality of Life, and Subjective Health: Results of a Cross-Sectional Study in a Rural Region in Germany

The Relationship between Health Literacy, Quality of Life, and Subjective Health: Results of a Cross-Sectional Study in a Rural Region in Germany

PEN-13: A New Generic 13-Item Questionnaire for Measuring Patient Enablement (German Version)

Value-based Health Care – Impulse und Implikationen für den deutschen Arzneimittelmarkt

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