the current decline in the growth of health care spending has led many analysts to wonder if it is a trend that will persist or temporary change linked to the recession. ...
TEDMED #GreatChallenges: examination of the case for patient activation measures
TEDMED #GreatChallenges: examination of the case for patient activation measures
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- TEDMED of #GreatChallenges: examination of the case for patient activation measures
As the health care system continues to divert attention from an acute care system to a system of long-term care, understanding of patient involvement is increasingly important for health care providers. In 04, researchers at the Oregon University have developed an evaluation called Measuring Patient Activation (PAM) that allows clinicians to measure knowledge, skills and confidence of a patient for the management of their health care and health. Research indicates clinical sites using PAM see between $ 260- $ 3.700 per year per patient savings.
Recently, TEDMED Great Challenges invited a group of experts to discuss WFP, the benefits of patient involvement has increased and potential barriers to activation patient. The major challenges Medicine Program and Health highlights the complex and persistent problems that affect millions of Americans and is sponsored by the Robert Wood Johnson Foundation.
The panel
Dr. Judith Hibbard is professor of health policy at the University of Oregon Department of Planning, Public Policy and Management and the author main consideration of the extent of activation of patients. She is an expert on consumption in health care whose research focuses on the choices and behaviors of consumers health.
Rebecca Burkholder is vice president of health policy at the National Consumers League. It manages the work on health care issues, including the safe use of medicines, patient safety, patient-physician communication and direct to consumer advertising.
Dr. Suzanne Mitchell is Assistant Professor of Family Medicine and the School of Medicine at Boston University and a family physician and palliative medicine provider. She has published on the use of virtual reality and artificial intelligence agents for the provider and patient education.
Sandra Elliott is executive director of IMPAK Health, LLC, a start-up health technology, and the director of the business of technology and consumer services development for Meridian Health. She is responsible for daily operations, product development, strategy and market development at IMPAK.
Emily Kramer-Golinkoff is the co-founder of Emily's entourage, a nonprofit that raises money and awareness for research on cystic fibrosis. She also works in social media and Penn Lab health innovation and e-patient with advanced cystic fibrosis. She recently served on the Working Group on Communications of the Cystic Fibrosis Foundation.
The panel was moderated by Gregg Masters, a recognized leader in the thinking of the health of social media and founder of HealthInnovationMedia.com. His work focuses on best practices in digital content development, curation, distribution and branding.
Key Insights
Dr. Hibbard explained that patients with lower activation scores tend to feel overwhelmed by the health management task, have little confidence in their ability to do so, may be discouraged because of the experiences of failure and can not understand their role in the care process. Understanding the level of activation of a patient helps clinicians tailor treatment plans for each patient that can increase engagement in managing their health. Dr. Hibbard noted, "... The idea is to help people by breaking things down into smaller steps when they are activated less ... and what we found is when people begin to experience success their motivation increases "
panelists noted that WFP is an important starting point for ongoing conversations between patients and providers Panelist Elliott suggested several additional drivers of patient involvement..: a sense of belonging and trust between the patient and the provider, the information clearly communicated suppliers with steps for action and patient confidence in their ability to do what is asked of them. As a patient suffering a very active disease, Kramer-Golinkoff panelist said, "My goal in my health is to be able to fully engage in the rest of my life ... I think [this is] a starting point ... there must be efforts to align values and understand the context and life goals [which] often involves a much more nuanced and rich relationship with the supplier. "The panelists suggested that clinicians need better training on how to have conversations and effective with patients to encourage commitment.
in the end, all panelists agreed that the management chronic disease is a journey, and it is up to providers to help patients better understand how they can move forward successfully with the management of collaborative care and personalized. health care services such as those of MHA @ GW can play a vital role in helping providers and patients use tools such as measuring the activation of patients to navigate through this journey
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