Patient Engagement

My Favorite Slide: Health Care Starts with Patient Access

Infographic · October 25, 2016

Access to Care and Financial Burden among Adults Age 19 Years of Age or Older in 2012, According to the Source of Health Insurance Coverage

Access to Care and Financial Burden among Adults Age 19 Years of Age or Older in 2012, According to the Source of Health Insurance Coverage. Click To Enlarge.

The health care Triple Aim — high quality, low cost, and positive experience — only matters to a patient if he or she is able to participate in the system. In other words, there can be no Triple Aim unless the patient actually has access to health care services. On the 50th anniversary of Medicare in 2015, the New England Journal of Medicine cited important survey data on which adults have, and more importantly, do not have, access to care.

For the purposes of the study, “access problems due to costs” included filling prescriptions, receiving required specialist care, undergoing recommended tests or follow-up, and arranging a doctor visit for a medical problem. “Bill problem or medical debt” was defined as not being able to pay bills, being contacted by a collection agency for unpaid medical bills, having to make lifestyle changes because of medical bills, and having to pay off medical debt over time.

These data tell a powerful story about the importance of Medicare, as well as Medicare Advantage, in creating access for patients. Furthermore, if the number of uninsured Americans continues its recent decline, commercial (i.e., individual and employer-sponsored) markets may be the next front in the battle to improve access to care.

New call for submissions ­to NEJM Catalyst

Now inviting longform articles

Connect

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

Learn More »

More From Patient Engagement
Health Care Can Learn a Lot from Other Consumer-Facing Industries - Especially About Customer Service - Consumerization of Health Care

Patient Engagement Survey: Health Care Has a Lot to Learn from Consumer-Friendly Industries

The consumerization of health care continues to reshape the way that patients engage with providers and experience care. Most providers see this fundamental change in the health care model as a necessary response to changing patient demands, and have embraced the need to learn from other industries.

Bilazarian01_pullquote patient engagement both sides of the bed

Patient Engagement from Both Sides of the Bed

When patients and families are included in medical rounds as valued members of the team, the quality of care improves.

Ten Guiding Principles for Patient-Centered Care as Described by Mountain States Health Alliance to consider with patient-centered outcomes research (PCOR)

Complementary Approaches to Patient Engagement in Patient-Centered Outcomes Research

It’s important for providers to understand and apply the key principles foundational to patient-centered outcomes research efforts.

Selected Advantages of Improved Patient Electronic Access to Health Data

Patient-Led Data Sharing — A New Paradigm for Electronic Health Data

The pieces are in place for a truly disruptive shift in how patients can access and use their own clinical data to improve their health.

Collapse of Two Online Health Communities as Result of Removal of Users Starting from Superusers

Online “Superusers” as Allies of the Health Care Workforce

Three proposed steps for integrating peer-driven online health communities with traditional services to improve health outcomes for people with chronic conditions.

The PEACE Project - Patient Experience for Acute Care Elders at Sarasota Memorial Hospital

The PEACE Project

Improving the acute care experience for our eldest patients.

Rabson01_pullquote barriers to patient engagement in primary care practices

What Does It Take to Increase Patient Engagement in Primary Care Settings?

Massachusetts primary care practices are beginning to invest in programs to increase patient engagement, but these strategies can be challenging to implement and remain underutilized and undervalued.

Many Barriers to Engaging Patients in Treatment for Obesity

Survey Snapshot: Approaches to Address Clinician and Societal Roles in Obesity

The obesity problem is getting larger and larger. Some solutions lie beyond the traditional medical setting.

Esch01_pullquote patient activation

OpenNotes, Patient Narratives, and Their Transformative Effects on Patient-Centered Care

The development of standardized tools and techniques are enhancing the ability of providers to interact with patients, but true patient engagement requires a common understanding of its theoretical foundation and an open mind for including patients’ needs and beliefs — in their language — as part of each encounter.

Patients and PCPs Hold Primary Responsibility for Addressing Obesity

Patient Engagement Survey: The Failure of Obesity Efforts and the Collective Nature of Solutions

Patients hold responsibility for their actions, but providers’ approaches to address obesity often fall short as well.

Connect

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

Learn More »

Topics

Scaling Up to a Telehealth Future

Digital medicine is here, and it’s here to stay.

Patients As Customers

125 Articles

Patient Engagement Survey: Health Care Has…

The consumerization of health care continues to reshape the way that patients engage with providers…

Patient-Centered Care

249 Articles

Coach, Don’t Just Teach

The effect of one-on-one communication coaching on clinicians’ communication skills and patients’ satisfaction.

Insights Council

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

Apply Now