Correlation Of Patient Enablement Instrument (PEI) With HA1C In An Out-Patient Population. Presented at the Society of Teachers of Family Medicine (STFM) at Pittsburgh, 2007 * Remigius Okea, MD. Bronx-Lebanon Hospital Center (BLHC), Bronx, NY Print

Name :  Remigius Okea

Date  :  14-Apr-2013

Remigius Okea

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Abstract:

Quantitative measurement of Patient Centered Care (PCC) with the Patient Enablement Instrument (PEI) and correlating such measure with established disease outcomes such as hemoglobin A1C is the subject of this study.

Method: The design was a retrospective-cohort. Patient enablement instrument (PEI) was administered to a clustered sample of diabetics, who visited Bronx-Lebanon Family Medicine (BLHFM) clinics during the 3 months of the study. Using a computerized patient medical and laboratory record system (the LASTWORD), all the HA1C values from 01/01/2005 until 06/30/2007 were recorded. A total of 105 patients participated and met the inclusion criteria in our study.

Results: The median HA1C was 8.0 (BLHCFM 8.3) and a SD of 1.86 (BLHCFM 1.66).

Patient Enablement Instrument Scores (PEIS) > 4 correlated statistically with a favorable change in HA1C (cHA1C) in the last 12 months, (OR=1.546, 95% CI (1.028 - 2.324), P=0.036).

Conclusion:Diabetics at BLHCFM out-patient clinics with PEI scores >4 were more likely to have a faviorable change in HA1C in the previous 12 months.