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
The Patient Engagement Capacity Framework

The Patient Engagement Capacity Model: What Factors Determine a Patient’s Ability to Engage?

Patient engagement assessments often don’t dig deep enough to identify why patients don’t participate in their own health care. We present a new model to help providers pinpoint the reasons for lack of engagement and address them more effectively.

Organizational Mindset Is the Biggest Barrier to Engaging Patients as Consumers

Survey Snapshot: The Patient-Physician Relationship Is Key

Both parties involved in a consumer-facing transaction have access to important information about the product or service — but this isn’t the case with health care.

What High-Need, High-Cost Patients Say About How to Reduce High Utilization of ED and Inpatient Services

High-Need, High-Cost Patients Offer Solutions for Improving Their Care and Reducing Costs

More home health care and after-hours clinics, telemedicine, and home delivery of medications are among top solutions.

Top Physician Pain Points Identified by Chronic Patients

Unmet Needs: Hearing the Challenges of Chronic Patients with Artificial Intelligence

With natural language processing and machine learning, researchers are identifying patient emotional and medical needs that are not being met by clinicians and patient advocacy groups.

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.

Connect

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

Learn More »

Topics

The Patient Engagement Capacity Model: What…

Patient engagement assessments often don’t dig deep enough to identify why patients don’t participate in…

Patients As Customers

130 Articles

Survey Snapshot: Is Transparency the Answer?

NEJM Catalyst Insights Council members say that while transparency might be necessary, we have to…

Patient-Centered Care

257 Articles

Transforming Specialty Practice in Pursuit of…

Despite significant primary care reform around patient-centered medical home models, specialty care remains fragmented, with…

Insights Council

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

Apply Now