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Improvement of Patients' Health Confidence: A Comparison of 15 Primary Care Practices and a National Sample

Ho, Lynn MD; Haresch, John Watt MD; Nunlist, Mark MD; Schwarz, Adam MD; Wasson, John H. MD

Journal of Ambulatory Care Management: July/September 2013 - Volume 36 - Issue 3 - p 235–240
doi: 10.1097/JAC.0b013e3182955af7
New Feature: Snapshots of Patient Engagement

Patient health confidence is an easy-to-obtain proxy measure for patient engagement and patient activation. In evidence-based literature syntheses, longitudinal studies, and empiric analyses, this measure is related to desirable consequence of medical care. Adult patients from 15 primary care practices and a national sample report on changes in health confidence over time. Exemplary practices describe how this information is used as a foundation for behaviorally sophisticated actions so necessary for improving health confidence.

North Kingston Family Practice, North Kingston, Rhode Island (Dr Ho); One Family Doctor, Kitty Hawk, North Carolina (Dr Haresch); White River Family Practice, White River Junction, Vermont (Dr Nunlist); Hanover Continuity Clinic and Geisel School of Medicine, Hanover, New Hampshire (Dr Schwarz); and the Dartmouth Institute, Lebanon, New Hampshire (Dr Wasson).

Correspondence: John H. Wasson, MD, The Dartmouth Institute, 46 Centerra Parkway, Lebanon, NH 03766 (

John H. Wasson is the President of FNX Corporation, which distributes under license with the Trustees of Dartmouth College the Internet tool used to examine the question of health confidence which is the basis of this report. The remaining authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins