Patient Engagement
Clip
‘No App for That’: Disruption in Hospital Health (02:08)

“Disruption” is a trending term across industries, and it doesn’t exclude health care. What truly disruptive influences might be coming? Is there an Uber in our future?

The way people interact with health care is changing fundamentally, says Niteesh Choudhry, Executive Director of the Center for Healthcare Delivery Sciences at Brigham and Women’s Hospital. Retail clinics or telemedicine, for example, can reduce the patient burden of engaging with health care as a whole.

Many clinicians who work in hospitals believe these institutions are where a patient will find the best care. But patients — in other words, consumers — don’t necessarily agree. “They’re perfectly happy going to retail clinics and perfectly happy making telephone calls in order to receive their care,” says Choudhry, adding that there is clear evidence that not only is the quality of these services at least every bit as good, but the costs may be lower, too. “I think if there is fundamental change coming, it’s in this idea that care must happen in the kinds of silos in which it’s been delivered for all these years.”

David Asch, Executive Director of the Penn Medicine Center for Health Care Innovation, agrees. “It’s crazy to think that, in the future, the only way you can get care is in the hospital.” But, he cautions, health care can’t be solved by an app. “If you’ve been admitted to the hospital six times in the last year with congestive heart failure, there is no app for that.”

Asch likens it to how conventional thinking — for example, that the only way to get around New York is to hail a taxi — has changed. “I don’t know exactly what’s going to be disrupted,” he says, “but hopefully a lot will be.”

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

More From Patient Engagement
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.

Items from the Shared Decision-Making Process Survey for Elective Surgical Procedures - patient decision aids - decision quality - informed consent

Shared Decision-Making: Staying Focused on the Ultimate Goal

Despite growing acceptance and enthusiasm for patient involvement in their health care decisions, clinicians, at times, lose focus on the ultimate goal of shared decision-making: better health decisions from the informed patient’s perspective.

Kangovi01_pullquote community health workers boom

The Community Health Worker Boom

Practical insights that can help organizations optimize their investments in community health workers.

MD Anderson Cancer Center PAAC Health Information Data Before and After Implementation of New EHR System

Using a New EHR System to Increase Patient Engagement, Improve Efficiency, and Decrease Cost

The University of Texas MD Anderson Cancer Center saw active participation from patients by encouraging them to document their own health information into a new EHR.

Phrases That Enhance Physician-Patient Communication for Scripps Health Hospitalist Groups

Improving Hospitalist Patient Experience Scores: The Importance of Physician-to-Physician Coaching and Medical Director Engagement

With the Centers for Medicare and Medicaid Services incorporating patient experience into Value-Based Purchasing metrics, hospital leaders must focus on improving this important aspect of patient care.

DLewis01_pullquote Opening Up to Patient Innovations Like Automated Insulin Delivery

Opening Up to Patient Innovation

Next-gen innovations — by new stakeholders — will need a next-gen regulatory system, and clinicians willing to adapt.

Karen DeSalvo - public health population health social determinants of health expert social services infrastructure

Moving from a Sickness Model of Health Care to One of Well-Being — Part 2

A public health expert discusses the scientific, technological, and financial foundations needed to modernize the social services infrastructure and address social determinants of health.

PROs Associated with Better Top-Box Satisfaction Scores at UPMC

Better Physician Ratings from Discussing PROs with Patients

A UPMC study demonstrates the value of PROs, but finds that physicians need to discuss that information with patients during visits.

Karen DeSalvo - public health population health social determinants of health expert social services infrastructure

Moving from a Sickness Model of Health Care to One of Well-Being — Part 1

The expense of the U.S. health care system is so misaligned from what we need as a country — a healthier population. A public health expert discusses how we can move toward a model that addresses social determinants of health and promotes well-being while still growing our economy.

Different Means of Initiating and Sustaining Behavior Change

Survey Snapshot: Social Support, Whether In-Person or Virtual, Is the Key to Sustained Behavior Change

NEJM Catalyst Insights Council members seek ways to create relationships with patients — but the hurdles are high.

Connect

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

Learn More »

Topics

Patient Engagement Survey: The Failure of…

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

Patient-Centered Care

233 Articles

Patient Engagement Survey: The Failure of…

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

Patient Incentives

66 Articles

Patient Engagement Survey: The Failure of…

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

Insights Council

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

Apply Now