Patient Engagement in the U.S.

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Patient Engagement in the United States July 12,
2003 David Lansky, PhD FACCT - Foundation for
Accountability
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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

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PATIENT ENGAGEMENT - AN EXPANDED MODEL

• PERSONAL CARE

• CLINICAL CARE

• HEALTH SYSTEM NAVIGATION

• FINANCIAL PARTICIPATION

• HEALTH SYSTEM GOVERNANCE

• CIVIC GOVERNANCE

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Patient-side Barriers to Patient Engagement

• Activation
• Literacy
• Diversity
• Salience
• Unpredictability
• Third-party Financing

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System Barriers to Patient Engagement

• Culture
• Infrastructure
• Finance

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System Opportunities to Increase Patient
Engagement1 Culture

• National thought leadership
• Curriculum reform
• Professional standards
• Patient expectations for care

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System Opportunities to Increase Patient
Engagement2 Infrastructure

• Personal health information
• Performance information
• Patient safety improvements

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System Opportunities to Increase Patient
Engagement3 Financing

• Process based payment
• Outcomes based payment
• Patient financial responsibility