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How To Improve Patient Engagement In Health Care

By Hazel A. Perry


Less than ten decades ago doctors routinely visited patients at home. Hospitalization was for the dying, and an accidental cut could be fatal. The mortality rate was shockingly high. Even so, there is still a kind of dreamy nostalgia for a time when medicine had not yet become a mega-business. Discovering how to improve patient engagement in all facets of treatment helps to re-humanize medicine while controlling costs.

There are ongoing political battles surrounding health care, but most have little to do with actual human perceptions of modern medicine. Although few people really look forward to a doctor visit, those who feel that they are viewed as a faceless condition or nameless statistic have less incentive and motivation to take greater responsibility for their own personal health issues.

In spite of logic, education or intelligence, visiting the doctor is an exercise in stress for many people. Although an appointment may start in a timely fashion, doctors have only a few minutes to diagnose and recommend treatment. This truncates most communications, causing many patients to turn to the Internet for information on symptoms and remedies, a practice many doctors openly discourage.

While a paternalistic approach may have been acceptable in the past, the digital age has only increased demands for medical information. Many hospitals and physicians were slow at first to adopt electronic records-keeping, but have now created online portals where people can access personal medical histories, medications and treatments. Having that knowledge helps create a sense of empowerment and involvement.

Patients investing in this relationship soon find a healthier lifestyle begins to make good sense. The results are fewer appointments, less demand for prescription medication, and lower rates of preventable hospitalization. For many, the most important outcome is a stronger, more open relationship between doctor and patient, modeled after a partnership rather than a confrontation.

Doctors no longer find patients as distant when e-mail communications are encouraged. In turn, patients evaluate their appointments via an on-line survey request. Treatment possibilities may be more fully explained in detail, rather than being cloaked in medical mystery. When treatment options are presented, people consistently choose the less expensive form together with necessary lifestyle alterations.

The key to this successful approach is best expressed by communicating overall respect for individual patients, who already realize that good medicine is more than surgery or prescriptions. When patients and close family members are allowed to participate at all levels of treatment, long-term prognoses improve. The ultimate result is better cost control, and increased satisfaction for patients and staff alike.




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