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KevinMD – In this article, Dominic A. Carone discusses ways doctors can lose patients from a non-physician perspective.  Carone, a practicing Neuropsychologist, observes and speaks with patients about their medical and care provider history.  Over time, he has noticed trends in stories from patients who have changed care providers because they were unsatisfied.  Here’s his top 10: Continue Reading »

iHealthBeat.com - A recent study conducted by the Center for Studying Health System Change suggests that US residents aren’t using the internet to educate themselves about their health as much as they have in recent years.  According to the research, in 2010, half of all U.S. adults looked for information regarding personal health issues from sources other than their doctor within the previous 12 months, which is down from 55.5% in 2007.

“The very abundance of information sources available about health– particularly on the Internet—may well be contributing to information overload, anxiety and confusion by some consumers”, says researcher Ha Tu.

Our Take:   Patients want timely, understandable information about their condition, their body, their outlook. The internet provides a wealth of information but little filtering. It asks the patient to figure out what is relevant, what is credible, what is rumor. While patients clearly need to be their own advocates, they also need help. There is a lot of room, and a voracious need for doctors to better direct patients to digital information that is concise, understandable and relevant to the patient’s specific issue.

KevinMD- A recent article by consultant, blogger and former cardiologist  Dr. David Lee Scher, highlights five ways by which mobile health technology will enhance the lives of doctors and patients alike.  Scher discusses how mobile technology aims to increase patient engagement, improve communication, and ultimately enhance doctor-patient relationships.  Here’s a quick excerpt:

”An estimated 75% of physicians have either an iPhone or iPad. They are adopting EHR (electronic health record) technology and are busier than ever. Mobile health promotes patients as partners in healthcare and a coordinated care effort involving the patient, caregiver, and provider. As a practicing physician, I recognized the utility of EHRs and remote monitoring (of cardiac rhythm devices). I look forward to the many possibilities of mHealth improving the quality of practice for physicians.”

Our Take:  This article is a great illustration of how mobile technology can be adopted by the healthcare industry.  Here at Engaging the Patient, we see mobile as yet another tactic in the push to get patients and clinicians closer aligned. Mobile technology alone will not transform the patient-clinician relationship. But where there’s already a will, mobile technology is a great way to push engagement forward.  

Lisa Bernstein is the Executive Director and co-founder of The What To Expect Foundation.

Lisa Bernstein- The What To Expect Foundation’s Baby Basics Prenatal Health Literacy Program has a group (and other components) that are all created to work with and for everyone that cares about healthy pregnancies. Here are the components:

The Baby Basics book and planner

Each expecting mom receives a copy of Baby Basics or Hola Bebe, an evidence-based prenatal guide that is health literate, culturally competent, and fun to read. For some mothers it is the only written source of comprehensive information for their pregnancy, for other moms it can be the first book they have ever wanted to read, or even owned. The planner is a portable medical record that gives moms a place to write down questions and important information, and coordinate her appointments. Continue Reading »

Rainy Warf, M.P.H., CHES Evaluation Coordinator Canyon Ranch Institute

Rainy Warf, M.P.H., CHES- 

The Canyon Ranch Institute Life Enhancement Program (CRI LEP) is an integrative health and wellness program, and is grounded in the best practices of health literacy.

During weekly group sessions and one-on-one visits with health care professionals, participants learn new health information, participate in hands-on learning experiences, set health goals, and have opportunities to share challenges and celebrate success with each other.

Our experience is that the participant groups quickly grow into a strong support system with many people staying in contact well after the end of the program. At some partner sites, monthly or biannual reunions are held, and in others subgroups have formed that continue to support each other to walk, ride bikes, and talk and share.

The CRI LEP was developed and implemented in partnership with a community-based health care organization and has been replicated in diverse settings — both urban and rural – across the United States. Continue Reading »

Zeev Neuwirth, M.D., Harvard Vanguard Atrius Health - Chief of Clinical Effectiveness and Innovation

Harvard Vanguard’s Zeev Neuwirth, M.D. & Deb Prescott- The typical 15-minute doctor’s appointment is frustrating and unsatisfying both for the patient, who often leaves with questions unanswered, and for the physician, who feels rushed and pressured to get to the next patient.

Shared Medical Appointments or SMAs is one solution to improving access and physician job do-ability.  A Shared Medical Appointment (SMA) is a 90 minute group patient visit in which 8 to 12 patients experience a medical visit together, with their own primary care provider or specialist.

Deb Prescott, Harvard Vanguard Medical Associates Director of Shared Medical Appointments

The doctor/clinician is supported by a team: a documenter (or scribe who is writing the medical note real-time as the visit occurs), a behaviorist (who facilitates group dialogue and serves as a patient advocate), a nurse and/or medical assistant (who takes vital signs, updates immunizations and health maintenance screenings).

Harvard Vanguard has one of the largest ongoing Shared Medical Appointments in the U.S. with over 75 launched, in 16 different specialties and over 10,000 patient visits since the program began in 2008. Continue Reading »

Geri Baumblatt, Emmi Solutions Editorial Director and host of the Engaging the Patient Podcast series

First, thanks to all of the contributors for a truly amazing month of thoughts and insights. From Gary Schwitzer’s excellent piece on the challenges of reporting on and reading about medical information in the news, to Helen Osborne and Diana Dilger’s view of challenges from the patient side, to Cynthia Baur and Cindy Brach’s information on AHRQ’s Health Literacy Toolkit and the CDC’s National Action Plan, to asking how health professionals learn about health literacy, there’s a lot of great insights and growing number of resources.

Themes this year:

Teach-Back
While a nod is an easy thing to elicit when asking a patient “do you understand?”— it’s not enough. Even the patient may not realize when they don’t understand something. And a return demonstration or explanation is often the only way to find out. Even then, Continue Reading »

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