Engaging patients in health care: An empirical study of the role of engagement on attitudes and action

Forbat, Liz; Cayless, Sandi; Knighting, Katherine; Cornwell, Jocelyn; Kearney, Nora

doi:10.1016/j.pec.2008.07.055

Cited by 78 publications

(72 citation statements)

References 11 publications

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“…A push for engagement and education as a component of patient-centered care has come at a national level from the Institute of Medicine (IOM), which advocates for greater engagement of patients in health and healthcare, as well as from The Joint Commission, one of the most prominent healthcare accrediting bodies. Both groups recommend patient and family education as a primary improvement focus (Forbat, Cayless, Knighting, Cornwell, & Kearney, 2009 (Conway, 2015).…”

Section: Acknowledgementsmentioning

confidence: 99%

“…This is seen in patient-centered care and other initiatives directed at improving patients' understanding of their care (Forbat et al, 2009). Patient education, in a perfect setting, delivers information that is relevant to the patient, offers opportunities to address questions, and provides avenues for patients to seek additional or supplementary information when specific issues arise (Gruman et al, 2010).…”

Section: Patient Educationmentioning

confidence: 99%

“…The specific information and resulting behaviors are not as well defined in the research on patient education, but the movement to engage patients requires patient education to reach the point of empowerment and to maintain patient activation (Forbat et al, 2009). The future of patient education is fluid, as this is a period of adoption and adaptation.…”

Section: Patient Educationmentioning

confidence: 99%

“…Research on the attitudes of patients suggested that expectations and beliefs about the attributes of a particular behavior related to health or healthcare experience influence the values assigned to that behavior and become the basis for related decisions (Forbat et al, 2009 Preoperative education can be considered as an intervening factor in the patient's attitudes and expectations about TKA and ultimately in how they make sense of their experiences in TKA and subsequent self-care (Haanstra et al, 2012). Haanstra et al (2012) also noted that the "amount of information provided and the interaction with the practitioner/physician seems to have a substantial influence on the [patient] expectations" (p. 13).…”

Section: Empowered Attitudes and Expectationsmentioning

confidence: 99%

“…Participants demonstrated engagement through advocacy for anesthesia choices and involvement in the decision-making process. Forbat et al (2009) identified focuses related to engagement that applied to preoperative patients and knee replacement, including participation in the process, decisionmaking, and a coproduction of knowledge. They defined engagement as a working partnership rather than a cause-effect relationship.…”

Section: Enhanced Engagementmentioning

confidence: 99%

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experience of preoperative patient education for women preparing for and recovering from total knee replacement

Spooner¹

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Section: Acknowledgementsmentioning

confidence: 99%

Section: Patient Educationmentioning

confidence: 99%

Section: Patient Educationmentioning

confidence: 99%

Section: Empowered Attitudes and Expectationsmentioning

confidence: 99%

Section: Enhanced Engagementmentioning

confidence: 99%

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experience of preoperative patient education for women preparing for and recovering from total knee replacement

Spooner¹

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The Patient‐Centered Medical Home: History, Components, and Review of the Evidence

Arend

Tsang-Quinn

Levine

et al. 2012

Mount Sinai J Medicine

100

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The US healthcare system is plagued by unsustainable costs and yields suboptimal outcomes, indicating that new models of healthcare delivery are needed. The patient-centered medical home is one model that is increasingly regarded as a promising strategy for improving healthcare quality, decreasing cost, and enhancing the experience of both patients and providers. Conceptually, the patient-centered medical home may be described as combination of the core attributes of primary care-access, continuity, comprehensiveness, and coordination of care-with new approaches to healthcare delivery, including office practice innovations and reimbursement reform. Implementation efforts are gaining momentum across the country, fueled by both private-payer initiatives as well as supportive public policy. High-quality evidence on the effectiveness of the patient-centered medical home is limited, but the data suggest that, under some circumstances, patient-centered medical home interventions may lead to improved outcomes and generate moderate cost savings. Although the patient-centered medical home enjoys broad support by multiple stakeholders, significant challenges to widespread adoption of the model remain.

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Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study

et al. 2019

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AimTo investigate barriers to patient engagement in the delivery of safe hospital care.DesignQualitative exploratory study.MethodsA qualitative study with 35 Iranian health professionals was conducted from February to April 2019 using semi‐structured interviews to elicit their opinions. MAXQDA 11 software was used for data management, and the data were analysed using framework analysis.ResultsBarriers, which potentially have negative impact on patient engagement in the delivery of safer care, were categorized into four themes. The first category included patient‐related barriers such as low levels of health literacy, ineffective education, patient unwillingness and cultural barriers. The second category included staff‐related barriers such as the existence of negative attitudes towards engaging patients in matters relating to patient safety, ineffective communication, high workload and the reluctance on the part of physicians to engage with patients. Barriers created by limited resources and inadequate training provided by universities and in the workplace formed the third category and community‐related barriers such as the inadequate dissemination of information via the mass media and a lack of community‐based services formed the fourth category.ConclusionResults demonstrate the multilayered nature of the significant barriers to the engagement of patients in the delivery of safe care and reflect the need for a collaborative approach between the recipients of care, researchers, care providers and policy makers if these are to be overcome.

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Engaging patients in health care: An empirical study of the role of engagement on attitudes and action

Cited by 78 publications

References 11 publications

experience of preoperative patient education for women preparing for and recovering from total knee replacement

experience of preoperative patient education for women preparing for and recovering from total knee replacement

The Patient‐Centered Medical Home: History, Components, and Review of the Evidence

Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study

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