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Wednesday, November 14, 2018

Patient engagement falls short as ‘blockbuster drug’ physicians are seeking

Medical organizations across the country are trending toward patient-centered care, incorporating meaningful patient activation and engagement (PAE) into their clinical routines. But, despite a push for more personalized medicine, the majority of physicians and assistants still fail to fully understand what PAE means, and much less how to incorporate it into practice.

It's widely accepted that patients and families who are actively engaged in their care see more favorable health outcomes, first author Manish K. Mishra, of the Geisel School of Medicine at Dartmouth, and colleagues wrote in BMJ Open. Techniques like goal-setting, motivational interviewing and shared decision-making are all regarded as successful approaches to PAE.

"If patient engagement is the new 'blockbuster drug,' why are we not seeing spectacular effects?" Mishra et al. wrote. "Studies have shown that activated patients have improved health outcomes, and patient engagement has become an integral component of value-based payment and delivery models, including accountable care organizations (ACOs). Yet the extent to which clinicians and managers at ACOs understand and reliably execute patient engagement in clinical encounters remains unknown."


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