Patient Engagement I
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 I

Patient Inducements — High Graft or High Value?

Can health care be more like Uber and Lyft?

Consumer Engagement: New Tools and Capabilities for Health System Marketing

Novant Health is using research and data analytics to identify and engage new consumers, develop more relevant products and services, and support its mission and brand promise.

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.

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.

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-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.

Geisinger’s Refund Promise: Where Things Stand After One Year

Geisinger’s radical refund promise at one year — no evidence of financial catastrophe but a good return on patient trust.

My Favorite Slide: One Size Does Not Fit All in Behavioral Interventions

Behavioral interventions can have very different effects in different portions of the population.

Adding Value by Talking More

Talk is cheap, but it’s also effective, especially when it comes to better patient care.

Connect

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

Learn More »

Topics

Population Health — A Bipartisan Agenda…

A long-term agenda can be achieved only when state and federal governments agree on their…

Patient Incentives

51 Articles

The Power of Social Connectedness

We often don’t consider purpose in life and social connectedness when developing health care programs…

Coverage Expansion and Delivery System Reform…

Safety-net health system transformation is threatened by recent health reform proposals that erode coverage gains.

Insights Council

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

Apply Now