Patient Engagement I
Talk
What Keeps Patients Up at Night? (02:37)

“Any given attempt to establish a new healthy behavior is, on average, not going to be successful,” according to David Kirchhoff, CEO of Snap Kitchen and former CEO of Weight Watchers. Why is it so hard to get new health behaviors to stick?

Most behavior change efforts fail because “people don’t care as much about their health issues as you do,” says Kirchhoff. Job security, providing for family, caring for kids — these types of concerns are what keep people up at night, not their future health. It is not realistic to expect someone who works two jobs and is a single parent of three kids to prioritize new eating habits, for example. “You can’t really get people to address these types of health behaviors if you don’t understand the circumstances of their life.”

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