Patient Engagement
Clip
Why Are We Blind to Behavior Change Barriers? (03:59)

David Laibson, Harvard University Chair of the Department of Economics, and Punam Keller, Dartmouth College Tuck School of Business Associate Dean for Innovation and Growth, discuss some of the obstacles preventing health care providers from seeing greater success in knocking down barriers to behavior change.

We need to move past the assumption that giving people information is enough for them to make the right choice, says Laibson. There is also a tendency to spot and focus on only one barrier when in fact there may be many. “It’s about pausing, stepping back, and working harder in the beginning to identify all the problems,” says Laibson, “and then building an intervention that is more universal, less partial, and is much more likely to be successful.”

Another challenge, adds Keller, is a lack of focus on service excellence. Focusing on treatment rather than prevention, for example, creates a system that does not place enough emphasis on the patient or customer. Service excellence models have three major components, explains Keller: patient or customer management, employee management, and service delivery or operation. Because services are provided and consumed simultaneously, it’s important to have a strategy that incorporates all three.

From the NEJM Catalyst event Patient Engagement: Behavioral Strategies for Better Health at the University of Pennsylvania, February 25, 2016.

More From Patient Engagement

Shared Decision-Making for Good Clinical Care: Better, but Not Easier

Active patient involvement and patient autonomy can be burdensome to patients, especially when they are faced with serious illness. The primary goal of shared decision-making is not autonomy, but good care that fits patients’ lives.

The Patient as Consumer and the Measurement of Bedside Manner

Many physicians do not believe patient satisfaction is a legitimate pursuit. Yet they must meet consumers of health care where they are — on Internet ratings sites.

Health Care — A Final Frontier for Design

Design must move beyond narrow projects and encompass complex systems.

Halpern02_clip_still: A/B Testing Health Behavior Interventions

A/B Testing Health Behavior

Health care can’t implement changes overnight like Silicon Valley, but we can still learn from their version of treatment and control.

Social Interventions Can Lower Costs and Improve Outcomes

We can better serve our under-resourced patients by helping them access treatments and social interventions we already know to be effective.

Better Communication Makes Better Physicians

How Adrienne Boissy and Cleveland Clinic are focusing on physician communication — and getting results.

Why Real-World Results Are So Challenging for Digital Health

User engagement outside of clinical trials is the critical factor.

Transparency and Trust — Online Patient Reviews of Physicians

Transparency of validated data about delivery-system performance has the power to change the culture of health care.

Patient Engagement Survey: Technology Tools Gain Support — But Cost Is a Hurdle

NEJM Catalyst Insights Council members say patient engagement technology tools must be patient-centric and are most useful for managing chronic disease.

Patient-Researchers and Physician-Consultants Confront Chronic Disease

Personal-use sensors and data applications allow patients with Type 1 diabetes and other chronic diseases to take charge of managing their health. This is the future of chronic disease management.

Connect

A weekly email newsletter featuring the latest actionable ideas and practical innovations from NEJM Catalyst.

Learn More »

Topics

Patient Incentives

43 Articles

A/B Testing Health Behavior

Health care can’t implement changes overnight like Silicon Valley, but we can still learn from…

Patient-Centered Care

138 Articles

Shared Decision-Making for Good Clinical Care:…

Active patient involvement and patient autonomy can be burdensome to patients, especially when they are…

Patients As Customers

64 Articles

Shared Decision-Making for Good Clinical Care:…

Active patient involvement and patient autonomy can be burdensome to patients, especially when they are…

Insights Council

Have a voice. Join other health care leaders effecting change, shaping tomorrow.

Apply Now