Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Patient engagement is in search of a definition

Richard Upton
Patient
June 28, 2015
Share
Tweet
Share

shutterstock_73029814

Ask anyone connected with health care these days to provide a definition for patient engagement and you will likely receive as many answers as there are agendas surrounding the discipline.

While patient engagement has evolved as a critical strategy in support of the ultimate goal of creating improved health for a total population, you would think that a mandate for a unified definition would be embraced by all involved. Yet it is not.

Not unlike the lack of interoperability guidelines established for HITECH — six years and 29 billion dollars ago — patient engagement sits at a tipping point of being the next commercially controlled and competitively dysfunctional process in a health care system where patients, providers, and payers cannot afford another misstep.

Our health care system cannot afford another process that allows competing commercial interests to derail and hold hostage physicians and patients in the delivery of affordable patient care designed to improve outcomes, enhance patient experiences and reduce costs.

A key point to note is that patient engagement is a strategy, not a tactic. Whereas, there are many tactical components to patient engagement, it is and of itself a strategy.

In a recent article, Ian Worden made the following astute observation: “One significant challenge with improving patient engagement lies in the lack of a standard and correct definition for the term ‘patient engagement.’  How do you go about improving patient engagement if you cannot effectively articulate what patient engagement means?”

The current lack of a unified definition for patient engagement has already created significant confusion and dysfunctional initiatives due to the fact that a myriad of definitions referenced place a disproportionate degree of responsibility on the patient, while being tactical in their execution.  This might help set a lucrative target for a commercially based agenda, but it does little to add clarity and direction for the strategic goals of patient engagement’s intended purpose. The health care industry already has an overabundance of examples where the pursuit of market share has threatened patient care.

Although, highly supported by technology and its significant innovative leadership contributions, patient engagement is not an IT, HIT, regulatory, or vendor-driven initiative, but rather it is a patient-facing, patient driven strategy. It is misplaced, in my opinion, that the technology sector attempt to drive the strategic component of this critically important clinician and patient-centric agenda.

For a better part of the past twelve months, I have had the privilege of participating on the task force of a major national organization’s study of the patient engagement issue. I found it troubling when I learned that we were not operating under a defined definition for the subject of our task.

In an attempt to provide positive input, I submitted the following definition for consideration and further discussion: Patient participation at every touch point in the health care delivery process.

Following my input, I learned that some involved with the process commonly reference a definition prepared by the Center for Advancing Health that defines patient engagement as: “Actions individuals must take to obtain the greatest benefit from the health care services available to them.”

Not unlike other informal definitions that exist for patient engagement, I am concerned by what I believe to be an unrealistic and inappropriate level of responsibility such a definition places on the patient. Without question, the patient must be an active participant in every step of the patient engagement process, but certainly the patient should not be expected to serve as the initiating lead in that process?

Unfortunately, I fear that patient engagement, as a discipline, will be unable to achieve a level of credible impact equal to its significant potential without a universally adopted definition firmly in place.

ADVERTISEMENT

The definition need not require pages of text to explain its purpose or meaning. The definition need only be succinct in its presentation, clear in its understanding and universally achievable in its expectations.

Richard Upton is president, UPTONGROUP.

Image credit: Shutterstock.com

Prev

Idioms and axioms provide a glimpse into medical culture

June 28, 2015 Kevin 2
…
Next

7 things this med student learned about being an innovator

June 29, 2015 Kevin 1
…

Tagged as: Patients

Post navigation

< Previous Post
Idioms and axioms provide a glimpse into medical culture
Next Post >
7 things this med student learned about being an innovator

ADVERTISEMENT

More in Patient

  • AI’s role in streamlining colorectal cancer screening [PODCAST]

    The Podcast by KevinMD
  • There’s no one to drive your patient home

    Denise Reich
  • Dying is a selfish business

    Nancie Wiseman Attwater
  • A story of a good death

    Carol Ewig
  • We are warriors: doctors and patients

    Michele Luckenbaugh
  • Patient care is not a spectator sport

    Jim Sholler
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 19 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Patient engagement is in search of a definition
19 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...