Table 2 Self-management support in Kaiser Permanente and the Danish Healthcare System
Aspects | Measure | Total n = 2256 | DHS n = 1533 | KP n = 823 | p valuea |
|---|---|---|---|---|---|
Self-management support received | Always, often, or sometimes experienced collaborative goal setting, lifestyle, and medication management and shared decision making as part of their treatment | 18 % | 13 % | 29 % | <0.0001 |
Collaborative goal setting | Discussed how to prevent illness with doctor | 76 % | 72 % | 85 % | < 0.0001 |
Plans and goals for treatment were explained | 65 % | 58 % | 77 % | < 0.0001 | |
Received help to make an accurate plan to improve health | 56 % | 47 % | 74 % | < 0.0001 | |
Lifestyle and medication management | Discussed exercise, diet, and weight with doctor | 85 % | 85 % | 85 % | 0.413 |
Adverse effects of prescribed medicine were explained within the last two years | 37 % | 26 % | 56 % | < 0.0001 | |
Doctor revised medication, including medicine prescribed by other doctors, within the last two years | 38 % | 27 % | 56 % | < 0.0001 | |
Spoke with doctor about the importance of taking prescribed medication | 62 % | 55 % | 75 % | < 0.0001 | |
Shared decision making | Doctor asked about preferred type of treatment or care if more than one option available | 65 % | 62 % | 71 % | <0.001 |
Discussed results of tests or examinations with health care provider | 85 % | 87 % | 84 % | 0.412 | |
Use of SMS tools | Always, often, or sometimes used SMS tools | 57 % | 47 % | 74 % | < 0.0001 |
Used patient education or support groupsb | 18 % | 11 % | 30 % | < 0.0001 | |
Used websites with health information b | 28 % | 28 % | 30 % | 0.364 | |
Used written health information b | 42 % | 34 % | 59 % | < 0.0001 |