![代际和动机偏好如何驱动患者参与网络](/Areas/CMS/assets/img/blank.gif)
Patient engagement has become a strategic imperative for healthcare organizations across the United States 和 has been touted as “本世纪最畅销的药物.” The concept of patient engagement is defined by the World Health Organization as “the process of building the capacity of patients, 家庭, 护理人员, 还有医疗云顶集团提供者, to facilitate 和 support the active involvement of patients in their own care, 以增强安全, 质量, 以及以人为本的医疗云顶集团提供.” The lived reality of patient engagement may differ slightly depending on the lens through which it is viewed, 但目标是一样的. Patient engagement aims to reduce behaviors that negatively affect the health of patients, 就像吸烟, 同时促进和加强积极的行为, 比如均衡饮食. Motivating patients to actively participate in their own health can be challenging, 即使是最基本的事情,比如每年一次的体检. However, the benefits of patient engagement are worth it for health systems 和 patients alike.
证明的结果
Positive clinical outcomes are a main reason for encouraging patients to become more involved in their care plans. 最近的研究表明 增加接触 和 tailoring care to the patient’s level of engagement contributes to better patient health.
当慢性病患者积极参与时, 死亡率 与对照组相比明显减少了吗. 此外,涉及 糖尿病患者 和 心力衰竭患者—two high-risk populations—have shown a direct correlation between engagement 和 adherence to care plans leading to reduced hospitalization incidences 和 emergency room visits.
使参与成为可能, organizations can offer several tools that enable patients to communicate with providers in a way they prefer. Organizations can do so while contributing to reported scores, such as the Centers for Medicare & Medicaid 云顶集团’ (CMS’s) Promoting Interoperability (PI) score through the Quality Payment Program. This score is used by CMS to determine the payment adjustment attributed to each participating organization. 利用用户粘性工具对这些元素有积极的贡献, 哪些组成了整体加权分数. 例如, providing patients electronic access to their health information makes up almost 40% of the score. Patients benefit from having an online approach to proactively engage in their care plan, 而组织提供它可以获得更高的PI分数.
组织的主要吸引力, 然而, should not be the financials involved in these scores—financial rewards may vary each year depending on the number of participants 和 the score each one receives. 而, 它的主要吸引力在于用户粘性工具, 比如病人门户, 这些途径能成功地接触到你的病人吗, 让他们有机会得到他们的照顾和你的系统. 进行的研究 患者体验日志 这表明,除了使用在线门户网站的后勤好处之外, patients experienced psychological benefits tied to increased collaboration 和 engagement in their care 和 trust in their providers. 在一个 研究 专注于糖尿病患者, a positive relationship was established between being registered users 和 having greater trust 和 communication with their providers. 在本质上, 通过提供病人需要的工具, 你可以增加他们对你的护理团队的信任程度, which can result in your patients being more receptive to provider recommendations for treatment plans or future visits.
代的偏好
医疗保健组织应该记住,一个标准适合所有人 患者参与的方法 不会成功. It is important to underst和 和 address patients’ generational preferences 和 to recognize that what they want 和 expect from providers will differ by age. 正如Christina Hoffman和Jamie DeMaria博士在他们的 白皮书, 尽管所有年龄组的患者参与都有相同的目标, 不同的人对它的理解和实现方式有很大的不同.
- 沉默的一代或传统主义者 (1926 - 1945出生)
- 严重依赖云顶集团40011官网指导他们的治疗
- 由于他们的敏锐程度,往往有频繁和更长时间的访问
- 婴儿潮一代 (1946 - 1964出生)
- 向他们的云顶集团40011官网寻求建议, 但也要在预约之前和之后做自己的调查, 因为他们对阅读第三方证据很感兴趣
- 经常参与自己的医疗决策, 他们的父母在沉默的一代, 以及他们在Y世代的孩子
- X一代 (1965 - 1979出生)
- Generally healthy 和 assume that their care team will help them make correct decisions for their care
- Most likely to switch healthcare providers based on their most recent experience
- Y世代还是千禧一代 (1980 - 1994出生)
- Utilize healthcare services at a low rate; the healthcare services they do access are more likely to be through a PCP, 一个妇产医院, 或者去急救中心
- Seek health information from multiple places but are less comfortable discussing their health concerns than other 代群体
- Z一代 (1995 - 2010出生)
- Strive to maintain balance as a part of their overall wellness 和 are comfortable reaching out to social networks to seek answers about health-related questions
- Guided by the values of their parents, who often fall within the X一代 cohort
尽管在美国有很多代际差异, 也有一些相似之处. 例如, 所有人都重视共同决策, 对自己的健康负责也是如此. 此外,所有年龄段的人都可以利用技术. 虽然每个人都有不同程度的能力, 提供者不应该认为老年患者不懂数字技术. 今天, 每10名老年人中就有4人拥有智能手机这一数字是2013年的两倍.
激励偏好
Motivations can vary based on internal factors driven by a patient’s psychological needs 和 external factors driven by their environment. 这两种类型都可以总结为 马斯洛需求层次理论 如下面的图2所示. This hierarchy outlines the relationship between each factor 和 the patient’s affected traits. 如 卫生标准’ 患者参与是一种策略,而不是工具, the application of this hierarchy in healthcare can benefit organizations looking to underst和 which level most accurately reflects a patient’s current state of motivations.
看看每一层的因素, notice how different levels of the pyramid can include both internal 和 external factors. 例如, 安全层可归因于内部因素, 比如健康安全, 以及外部的, 比如家庭的安全. 金字塔应该被看作是一个光谱, where patients can fall into multiple levels 和 be affected by internal 和 external factors.
底层患者的动机是生理和生存因素. Patients in this level may become engaged due to their desire to fulfill their needs. Next, patients who fall in the middle of the pyramid are least likely to be engaged in their care. This group would most benefit from easy-to-underst和 details of their care plan to increase engagement. 最后, patients toward the top are more concerned with factors such as esteem 和 self-actualization; like patients at the bottom level, 他们更有可能参与到他们的护理中. 对他们来说,自我实现可以通过患者参与来实现.
与患者参与专家合作
随着对患者参与的重视程度不断提高, healthcare organizations will benefit by staying up to date on the trends 和 learning more about their patients. Start by looking at generational 和 motivational factors to underst和 the deep-rooted influences that impact a patient’s level of engagement, 但也要考虑文化等因素, 地理位置, 性别, 性取向, 和 disability when designing your patient engagement strategy to ensure a holistic approach.
心电图致力于优化患者体验. 访问我们的 云顶集团 page to see how we can help tailor your organization’s patient engagement strategy.
2020年7月31日发布