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Patient Engagement in the U.S.
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Patient Engagement in the U.S.

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  • 1. Patient Engagement in the United States July 12, 2003 David Lansky, PhD FACCT - Foundation for Accountability
  • 2. Patient Engagement in the U.S.
    • Benefits not disputed - though some concern about patient capacity
    • Many successful experiments
    • Patient surveys report sense of full engagement remains rare
  • 3. PATIENT ENGAGEMENT - AN EXPANDED MODEL
    • PERSONAL CARE
    • CLINICAL CARE
    • HEALTH SYSTEM NAVIGATION
    • FINANCIAL PARTICIPATION
    • HEALTH SYSTEM GOVERNANCE
    • CIVIC GOVERNANCE
  • 4. Patient-side Barriers to Patient Engagement
    • Activation
    • Literacy
    • Diversity
    • Salience
    • Unpredictability
    • Third-party Financing
  • 5. System Barriers to Patient Engagement
    • Culture
    • Infrastructure
    • Finance
  • 6. System Opportunities to Increase Patient Engagement: 1: Culture
    • National thought leadership
    • Curriculum reform
    • Professional standards
    • Patient expectations for care
  • 7. System Opportunities to Increase Patient Engagement: 2: Infrastructure
    • Personal health information
    • Performance information
    • Patient safety improvements
  • 8. System Opportunities to Increase Patient Engagement: 3: Financing
    • Process based payment
    • Outcomes based payment
    • Patient financial responsibility

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