Measuring health confidence: benefits to patients, clinicians and healthcare providers.

IF 1.6 Q4 HEALTH CARE SCIENCES & SERVICES

BMJ Open Quality Pub Date : 2025-08-17 DOI:10.1136/bmjoq-2024-003134

Tim Benson, Alex Benson

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Abstract

Background: Patients need a high level of health confidence to manage their own care with success. However, health confidence is complex and changes throughout life.

Methods: The Health Confidence Score (HCS) is a measure of a patient's confidence and has four items covering their opinion of their health knowledge, ability to self-care, get help and participate in shared decision-making, plus an aggregate summary score. It is a short, easy-to-use measure with a low reading age.Data from about 5000 ratings are analysed, coming from anonymised patients living out of hospital.

Results: Findings show a highly significant improvement in health confidence between referral and follow-up after care and treatment. Health confidence is inversely related to the number of medications taken. The highest health confidence is in patients aged between 30 and 49. The lowest health confidence is in patients aged between 50 and 69. No significant difference in health confidence between male and female patients. Health confidence is a different concept from health status and personal well-being.

Conclusion: Integrating HCS into routine care fosters patient-centred healthcare, promotes self-care and can reduce cost of care.

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衡量健康信心：对患者、临床医生和医疗保健提供者的益处。

背景：患者需要高度的健康自信来成功地管理自己的护理。然而，健康信心是复杂的，并随着生活的变化而变化。方法：健康信心评分（HCS）是一种衡量患者信心的方法，有四个项目，包括他们对自己的健康知识的看法，自我护理的能力，获得帮助和参与共同决策的能力，加上一个汇总得分。它是一种简短、易于使用的测量方法，适用于较低的阅读年龄。他们分析了大约5000个评分数据，这些数据来自住在医院外的匿名患者。结果：研究结果显示转诊和护理治疗后随访之间的健康信心显著提高。健康信心与服用药物的数量成反比。对健康信心最高的是30至49岁的患者。年龄在50至69岁之间的患者对健康信心最低。男女患者的健康信心无显著差异。健康自信与健康状况和个人幸福是不同的概念。结论：将HCS纳入日常护理可促进以患者为中心的医疗保健，促进自我保健，并可降低护理成本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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