Patient Engagement in ACO Practices and Patient-Reported Outcomes Among Adults with Co-Occurring Chronic Disease and Mental Health Conditions

Susan L. Ivey
Stephen M. Shortell
Hector P. Rodriguez
Yue Wang
Journal Article
July 2018

This resource describes a study assessing the effects of patient activation and engagement strategies on patient-reported outcomes for patients with diabetes and/or cardiovascular and comorbid mental health diagnoses.

  • Accountable care organizations (ACOs) have increased their use of patient activation and engagement strategies, but it is unknown whether they achieve better outcomes for patients with comorbid chronic physical and mental health conditions.
  • In a study of sixteen practices, patients receiving care from practices with high patient-centered cultures reported better physical functioning (0.025) and borderline better emotional functioning (0.059) compared with less patient-centered practices.
  • More activated/engaged patients report better patient emotional, physical, and social health outcomes.
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Population Addressed
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • Do patient engagement strategies improve patient-reported outcomes (PROs) for individuals with chronic disease and comorbid mental health conditions?
  • What are the extent and the nature of the effects?
Level of Evidence
What does this mean?