Patient Engagement in the U.S.

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Patient Engagement in the U.S.

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

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