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He provides a few tips:
· Ask patients whether they go online
for health information (he makes
this part of his annual history
and physical examination).
· For patients who say yes, ask which
websites they find valuable.
· Use what you learn from those patients
to share helpful websites with others.
· Give homework assignments. Encourage
patients to do some reading on their
own and bring questions to their next
visit. For example, for a patient newly
diagnosed with Type 2 diabetes, you could
direct them to the Mayo Clinic's online
summary of the condition to read about
complications, risk factors and treatments.
As Dr Sands says, this type of dialogue
"provides [patients] with a sort of tacit
approval that you're okay with them getting
information from other places besides you.
And that leads to honest disclosures in
the future."
Acting on their own behalf also makes
patients feel empowered. Plus, your implicit
acknowledgement that you don't know
everything makes you less intimidating,
which makes patients more willing to accept
that they can have a partnership with you.
Make communication easier
It will be difficult for your patients to be
engaged in their healthcare if they don't
feel they can engage with your practice.
Tools such as patient portals allow patients
to schedule appointments and view test
results online and/or send direct, secure
messages to your practice. These features
make it easier for your patients to connect
with your practice, and by extension feel
more in control of addressing their
health needs.
Some doctors worry about letting their
patients send direct messages. Will you have
to dedicate extra time to responding to those
messages? Will patients try to use a message
in lieu of an office visit? Most often,
the answer is no.
Dr Sands' research in developing Beth
Israel's patient portal found that for every
100 patients using a portal, you can expect to
receive about 20 total messages per month,
and on average those messages take less time
to respond to (two minutes) than the average
phone call (five minutes). Additionally,
studies have indicated that patients who
utilise direct messaging tools don't visit the
office less frequently.
It makes your practice more profitable
Understanding what patient engagement
is and how it works is important, but the
more complicated part of the equation is
its impact. How specifically will engaging
patients affect your practice?
Cost benefits from improved outcomes
A commonly cited benefit of patient
engagement is lowered costs. That usually
refers to lower costs in the US health system
as a whole, which manifest most obviously
in decreased hospital readmission rates and
emergency department utilisation.
This is because engaged patients tend to
have better outcomes. Dr Leslie Kernisan
is a clinical instructor at the University of
California, San Francisco, who also practices
geriatric medicine. As Dr Kernisan explains,
patients are more likely to follow through
on treatment plans when they're engaged,
making them more likely to achieve health
goals ­ and less likely to need emergency
hospitalisation.
If you're one of many practices
already transitioning toward value-based
reimbursement, then you'll see a direct
financial gain as a result of a more engaged
patient base with improved outcomes.
"The more that payment models are
linked with outcome, the more important
engagement is," says Dr Hibbard.
That's not to say practices still operating
under fee-for-service payment models won't