In recent years, there has been a shift toward a greater role for patients in health delivery. We are all aware of the greater focus on shared decision-making, patient satisfaction scores, information on provider price and quality to patients, and the use of incentives embedded in benefit design (such as high-deductible health plans) that put the onus on the patient to behave like a consumer and assess the value of different health services they could receive.
But how do we define engagement? What are typical ways in which it is measured? Do clinicians think their patients are engaged? What can be done to improve this?
This article contains results from the first NEJM Catalyst Patient Engagement survey. There are strong views on which interventions work, but low rates of engagement appear to be the norm.