Posted 11/10/11 on the Altarum Institute Health Policy Forum
Patient Activation is a popular topic in recent health policy discussions. Activation means that a patient is informed, participating in his or her care, and feels comfortable and involved in decisions (1). It sounds powerful. Lower activation is associated with a higher rate of medical errors (2, 3), lower adherence to recommended medication (4), and lower satisfaction with care (2). Conversely, active participation in decision making results in less expensive treatment choices (5), faster recovery (6), and better perceived outcomes (5).
Continue reading “The Biggest Health Disparity of All: Control (Part 2)”
Posted 10/18/11 on Kent Bottles MD Private Views
The doctor/patient relationship is certainly changing and evolving. A term I hear a lot today is:“patient engagement/activation.” Why is this concept so important and what does it mean? What can physician executives do to make it easier for our patients to become engaged and activated?
Judith Hibbard has pioneered the study of patient engagement, and she noted that one needs knowledge, skills, and emotional support to actively engage in one’s health care. She identified four behaviors associated with engagement and activation:
- Self management
- Collaboration with provider
- Maintaining function/preventing declines
- Access to appropriate and high quality care
Continue reading “Physician Executives Should Support Patient Engagement/Activation”
First published 2/9/11 on Health Blawg,
There is a growing recognition within the medical-industrial complex that the patient is a key element of the enterprise, and that patient satisfaction, patient experience, patient engagement, patient activation, patient-centeredness are very important. Some research shows that patient activation yields better patient outcomes, and that patient activation can be measured.
Patient-centeredness and patient engagement are two of the key metrics to be used by the feds in describing Accountable Care Organizations (ACOs), if the internecine battles within government are resolved soon enough to actually release draft ACO regulations in time to allow for sufficient advance planning for the January 2012 go-live date. (Wearing one of my many hats, I’ve had the opportunity to submit a response to CMS regarding the RFI on these metrics on behalf of the Society for Participatory Medicine.) These measures go into the Meaningful Use hopper as well, as Meaningful Use Stage 2 metrics are being reviewed.
Continue reading “Measuring Patients’ Experience of Care”