The Marketplace For Patient Engagement
The Government is also really interested inwards promoting patient engagement, since engaged patients who tin monitor in addition to hold salubrious lifestyles, in addition to if already sick tin self-manage their chronic conditions, volition presumably utilize less medical resources in addition to should toll the arrangement less than their apathetic predecessors. And for similar reasons, private insurers in addition to employers are fully supportive of patient twenty-four sixty minutes catamenia of the month equally well, in addition to are diligently working to furnish patients with educational tools in addition to resources for engaging inwards their ain aid inside the toll optimizing aid management universe. Patient twenty-four sixty minutes catamenia of the month is also i of the pillars of Meaningful Use in addition to equally such it is creating the necessary infrastructure in addition to associated regulations to ensure that patients receive got meaningful access to all medical records previously locked upward inwards providers’ information vaults. This is extremely of import because patients cannot really engage inwards lifestyle improvements in addition to self-care on a bird playing champaign with their physicians without consummate cognition of their medical weather condition equally documented yesteryear a physician, in addition to equally augmented, translated in addition to analyzed yesteryear iPhone apps in addition to the Internet at large.
Earlier this twelvemonth Chef Mario Batali, an extremely engaged in addition to empowered individual, decided to engage himself in addition to his identify unit of measurement inwards an innovative lifestyle alter experiment of his own. For a total week, vii days, Chef Batali in addition to his identify unit of measurement went on a SNAP diet. The Supplemental Nutrition Assistance Program (SNAP), a.k.a. Food Stamps, diet consists of eating whatever you lot tin purchase for $31 a week. Of course, existence handy simply about the kitchen, gave Chef Batali a chip of an advantage, but all inwards all, according to the Huffington Post, his description of the experiment was "I'm (expletive deleted) starving".
There are 46.2 i G k Americans living inwards poverty today. Poverty is currently defined equally less than $23,021 per twelvemonth for a identify unit of measurement of four. There are 47 i G k people inwards the SNAP. 22% of American children alive inwards poverty in addition to inwards our Nation’s Capital, adjacent door to Congress in addition to the White House, 35% of children are poor. According to the USDA, 17.9 i G k households were food-insecure inwards 2011 in addition to 6.8 i G k of those had very depression nutrient security, which translates to 49 i G k Americans who don’t know where their adjacent repast is coming from, or if it’s coming at all, in addition to sixteen i G k of those Americans are children. H5N1 fairly new study from the University of Michigan in addition to Harvard concludes that at the offset of 2011, “2.8 i G k children were surviving on $2 or less inwards income per somebody per twenty-four sixty minutes catamenia inwards a given month”. And NCFH reports that inwards 2010, 1.6 i G k American children were without a home.
What does this receive got to practice with patient engagement? Well, for starters when you lot are “(expletive deleted) starving”, it is a chip to a greater extent than hard to muster the mental prowess required to engage your wellness aid provider on a bird playing field. The landmark “quasi-experimental” study on inviting patients at several elite wellness aid institutions to stance their view notes, published before this month, did non mensurate the bird of hunger with participating patients and/or their children. So, if you lot are edifice patient twenty-four sixty minutes catamenia of the month paraphernalia in addition to aspect to live on paid for your efforts, your target marketplace position excludes the 49 i G k food-insecure Americans in addition to inwards all likelihood excludes virtually of the remaining 50% of Americans living on less than the $50,054 median income, in addition to in all likelihood the vast bulk of the to a greater extent than fortunate 50%, some of whom may live on able to afford your products if they were chronically sick or actively preparing themselves for medical disaster, which virtually are not. This is in all likelihood why patient twenty-four sixty minutes catamenia of the month is something thrust upon the wellness aid scene from above, simply similar EHRs, in addition to non a marketplace position demand sprouting from unfulfilled needs of would live on buyers. And this is also why, patient twenty-four sixty minutes catamenia of the month campaigns, simply similar EHR adoption efforts, are financed yesteryear the middle-men of wellness aid (i.e. those who operate our collective wellness aid dollars to purchase medical services on our behalf), inwards the belief that somehow patient twenty-four sixty minutes catamenia of the month fueled yesteryear applied scientific discipline volition cut down the costs of medical services. These “purchasers” of wellness aid services are the virtually probable target marketplace position for patient twenty-four sixty minutes catamenia of the month tool builders, service providers in addition to the quintessential consultants.
This is non an only bad idea, simply similar roofing a gaping injure with a Band-Aid is non an only bad idea, in addition to at that spot is plenty quasi-experimental in addition to quasi-scientific query to present mild correlation betwixt costs in addition to technology, in addition to it doesn’t receive got a genius to figure out that if patients managed their ain care, in addition to if they did it good enough, nosotros would postulate to pay less to medical professionals for doing the same. The novel iPhone in addition to Internet based aid management products are sure as shooting promising to dramatically ameliorate lay patients’ abilities to receive got aid of themselves. The mountains of patient pedagogy tools in addition to materials written at a “culturally appropriate” fourth degree literacy bird with lots of colorful pictures in addition to large fonts are presumably targeting, with others, those who are on in addition to off “(expletive deleted) starving”, in addition to may fifty-fifty assist avoid a trip to the ED for some asthmatic children surviving on $2 a day. But this type of palliative approach to poverty is non probable to receive got important touching on on costs of care, because instead of shrinking away in addition to perishing, poverty seems to grow in addition to expand yesteryear leaps in addition to bounds, in addition to since 1/5 of our futurity generation is infected, the increase of expenditures good into the foreseeable futurity is pretty much guaranteed. Why? Because poor people are disproportionately sicker than rich ones (see CDC numbers below), in addition to no amount of colorful pamphlets in addition to gratis apps is going to alter that.
If you lot are i of the many talented in addition to passionate people working diligently to ameliorate wellness in addition to wellness aid inwards this country, you lot may desire to quit the Band-Aid public-private industrial complex that is squandering billions of taxpayers’ dollars inwards a futile endeavor to furnish cheaper aid to poor people, in addition to maybe consider redirecting your efforts towards solving the underlying work of poverty, in addition to reducing to nada the issue of Americans, especially children, who are “(expletive deleted) starving”.
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