Patient engagement
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Meagan Miller; Sara Dawit; Anna Scheuffele; Travis Haneke; Amanda Just; Evan Ball
Overview
Patient engagement, also called patient activation or patient participation, is defined as "patient involvement in the decision-making process in matters pertaining to health."[1]
Benefits
Patient activation
Patient activation interventions may improve patient outcomes[2] including the care of diabetes.[3].
Error checking
Patients may be able to detect errors in documentation[4][5].
Measuring patient engagement
Patient activation can be measured with the "Patient Activation Measure".[6]
Readiness to change can be measured by several methods:
- The Readiness to Change Ruler[7][8]
- Prochaska's Stages of Change from the Transtheoretical Model of Change[9]. The subjects answers one of the following about their current beliefs[10]:
- I do not regularly use __ and I do not intend to start within the next (six) months (Precontemplation)
- I am thinking about using __ regularly within the next (six) months (Contemplation)
- I plan to use __ regularly within the next 30 days (Preparation)
- I use __ regularly and have been for less than six months (Action)
- I use __ regularly and have for six months or more (Maintenance)
- The University of Rhode Island Change Assessment (URICA) questionnaire[11] based on the Transtheoretical Model of Change. The URICA is 23 or 32 items and a 12 item "'Readiness to change" version[12] has been developed. The Ruler correlates with the full questionnaire[13][12] and predicts behavioral intentions[13].
- Rollnick's motivational interviewing[14]
How to increase patient engagement / participation
A number of strategies have been reviewed[15]
Using stories to describe medical evidence may help communication.[16]
Encouraging patients to contribute to decisions
Encouraging the patient to participate in decisions may increase engagement and patient compliance.[17][6]
Consultation room design
Designing the room so that patients can watch the health care provider enter information into the electronic health record may help[18][19][20].
Patient portals to electronic health records
Patient portals may increase patient activation and reporting of errors[21][22].
Release of test results to patients
Test results can be released directly to patients, in real time, without accompanying interpretation by health care providers[23].
Real time release of results may increase anxiety in a minority of patients[24][25]
Release of test results to patients, especially if accompanied by physician interpretation may be helpful[23]
Mobile Health
External links
References
- ↑ Anonymous (2024), Patient engagement (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Shortell SM, Poon BY, Ramsay PP, Rodriguez HP, Ivey SL, Huber T; et al. (2017). "A Multilevel Analysis of Patient Engagement and Patient-Reported Outcomes in Primary Care Practices of Accountable Care Organizations". J Gen Intern Med. 32 (6): 640–647. doi:10.1007/s11606-016-3980-z. PMC 5442008. PMID 28160187.
- ↑ Bolen SD, Chandar A, Falck-Ytter C, Tyler C, Perzynski AT, Gertz AM; et al. (2014). "Effectiveness and safety of patient activation interventions for adults with type 2 diabetes: systematic review, meta-analysis, and meta-regression". J Gen Intern Med. 29 (8): 1166–76. doi:10.1007/s11606-014-2855-4. PMC 4099447. PMID 24733301.
- ↑ Bell SK, Delbanco T, Elmore JG, Fitzgerald PS, Fossa A, Harcourt K; et al. (2020). "Frequency and Types of Patient-Reported Errors in Electronic Health Record Ambulatory Care Notes". JAMA Netw Open. 3 (6): e205867. doi:10.1001/jamanetworkopen.2020.5867. PMC 7284300 Check
|pmc=value (help). PMID 32515797 Check|pmid=value (help). - ↑ Bell SK, Mejilla R, Anselmo M, Darer JD, Elmore JG, Leveille S; et al. (2017). "When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient-doctor relationship". BMJ Qual Saf. 26 (4): 262–270. doi:10.1136/bmjqs-2015-004697. PMC 7255406 Check
|pmc=value (help). PMID 27193032. - ↑ 6.0 6.1 Greene J, Hibbard JH (2012). "Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes". J Gen Intern Med. 27 (5): 520–6. doi:10.1007/s11606-011-1931-2. PMC 3326094. PMID 22127797.
- ↑ Readiness-to-Change Ruler Adult Mededucation
- ↑ Zimmerman GL, Olsen CG, Bosworth MF (2000). "A 'stages of change' approach to helping patients change behavior". Am Fam Physician. 61 (5): 1409–16. PMID 10735346.
- ↑ Prochaska JO, Velicer WF, Rossi JS, Goldstein MG, Marcus BH, Rakowski W; et al. (1994). "Stages of change and decisional balance for 12 problem behaviors". Health Psychol. 13 (1): 39–46. PMID 8168470.
- ↑ Fu, T., Mundorf, N., Redding, C. A., Brick, L., Paiva, A., & Prochaska, J. (2016, June). Exploring sustainable transportation attitudes and stages of change using survey and geospatial data in New England campus commuters. In Journal of the Transportation Research Forum (Vol. 55, No. 2).
- ↑ DiClemente CC, Hughes SO (1990). "Stages of change profiles in outpatient alcoholism treatment". J Subst Abuse. 2 (2): 217–35. PMID 2136111.
- ↑ 12.0 12.1 Rollnick S, Heather N, Gold R, Hall W (1992). "Development of a short 'readiness to change' questionnaire for use in brief, opportunistic interventions among excessive drinkers". Br J Addict. 87 (5): 743–54. PMID 1591525.
- ↑ 13.0 13.1 LaBrie JW, Quinlan T, Schiffman JE, Earleywine ME (2005). "Performance of alcohol and safer sex change rulers compared with readiness to change questionnaires". Psychol Addict Behav. 19 (1): 112–5. doi:10.1037/0893-164X.19.1.112. PMID 15783287.
- ↑ Rollnick, S., Heather, N., Gold, R., & Hall, W. (1992). Development of a short ‘readiness to change’questionnaire for use in brief, opportunistic interventions among excessive drinkers. Addiction, 87(5), 743-754. doi:10.1111/j.1360-0443.1992.tb02720.x
- ↑ Bombard Y, Baker GR, Orlando E, Fancott C, Bhatia P, Casalino S; et al. (2018). "Engaging patients to improve quality of care: a systematic review". Implement Sci. 13 (1): 98. doi:10.1186/s13012-018-0784-z. PMC 6060529. PMID 30045735.
- ↑ Steiner JF (2007). "Using stories to disseminate research: the attributes of representative stories". Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine. 22 (11): 1603–7. doi:10.1007/s11606-007-0335-9. PMID 17763914.
- ↑ Bodenheimer T (2007). "A 63-year-old man with multiple cardiovascular risk factors and poor adherence to treatment plans". JAMA. 298 (17): 2048–55. doi:10.1001/jama.298.16.jrr70000. PMID 17986698.
- ↑ Ajiboye F, Dong F, Moore J, Kallail KJ, Baughman A (2015). "Effects of revised consultation room design on patient-physician communication". HERD. 8 (2): 8–17. doi:10.1177/1937586714565604. PMID 25816377.
- ↑ Crampton NH, Reis S, Shachak A (2016). "Computers in the clinical encounter: a scoping review and thematic analysis". J Am Med Inform Assoc. 23 (3): 654–65. doi:10.1093/jamia/ocv178. PMID 26769911.
- ↑ Asan O, Tyszka J, Crotty B (2018). "The electronic health record as a patient engagement tool: mirroring clinicians' screen to create a shared mental model". JAMIA Open. 1 (1): 42–48. doi:10.1093/jamiaopen/ooy006. PMC 6952027 Check
|pmc=value (help). PMID 31984318. - ↑ Walker J, Darer JD, Elmore JG, Delbanco T (2014). "The road toward fully transparent medical records". N Engl J Med. 370 (1): 6–8. doi:10.1056/NEJMp1310132. PMID 24304001.
- ↑ Dendere R, Slade C, Burton-Jones A, Sullivan C, Staib A, Janda M (2019). "Patient Portals Facilitating Engagement With Inpatient Electronic Medical Records: A Systematic Review". J Med Internet Res. 21 (4): e12779. doi:10.2196/12779. PMC 6482406. PMID 30973347.
- ↑ 23.0 23.1 Pillemer F, Price RA, Paone S, Martich GD, Albert S, Haidari L; et al. (2016). "Direct Release of Test Results to Patients Increases Patient Engagement and Utilization of Care". PLoS One. 11 (6): e0154743. doi:10.1371/journal.pone.0154743. PMC 4919031. PMID 27337092.
- ↑ van Kuppenveld SI, van Os-Medendorp H, Tiemessen NA, van Delden JJ (2020). "Real-Time Access to Electronic Health Record via a Patient Portal: Is it Harmful? A Retrospective Observational Study". J Med Internet Res. 22 (2): e13622. doi:10.2196/13622. PMC 7055752 Check
|pmc=value (help). PMID 32044753 Check|pmid=value (help). - ↑ Giardina TD, Baldwin J, Nystrom DT, Sittig DF, Singh H (2018). "Patient perceptions of receiving test results via online portals: a mixed-methods study". J Am Med Inform Assoc. 25 (4): 440–446. doi:10.1093/jamia/ocx140. PMC 5885801. PMID 29240899.