Health Care Manage Rev. 2023;48(1):23-31. doi: 10.1097/HMR.0000000000000346. Epub 2022 May 23.
Patient engagement (PE) is critical to improving patient experience and outcomes, as well as clinician work life and lowering health care costs, yet health care organizations (HCOs) have limited guidance about how to support PE. The engagement capacity framework considers the context of engagement and examines precursors to engagement, including patients' self-efficacy, resources, willingness, and capabilities.
The aim of this study was to explore clinician and patient perspectives related to mechanisms through with the HCOs can facilitate PE through the lens of the engagement capacity framework.
METHODOLOGY/APPROACH: We administered an online open-ended survey to clinicians and patient advisors across the United States, including questions focused on the influences of, barriers to, and skills and tools required for PE. A common theme emerged focusing on the role of HCOs in facilitating engagement. Our analysis examined all responses tagged with the "health care system" code.
Over 750 clinicians and patient advisors responded to our survey. Respondents identified offering advice and support for patients to manage their care (self-efficacy), providing tools to facilitate communication (resources), working to encourage connection with patients (willingness), and training for HCO employees in cultural competency and communication skills (capabilities) as important functions of HCOs related to engagement.
HCOs play an important role in supporting a strong partnership between the patient and clinicians. Our study identifies important mechanisms through which HCOs can fulfill this role.
HCO leadership and administration can help establish the culture of care provided. Policies and initiatives that provide appropriate communication tools and promote culturally competent care can increase engagement.
患者参与（PE）对于改善患者体验和结果、临床医生的工作生活以及降低医疗保健成本至关重要，但医疗机构（HCO）在如何支持 PE 方面的指导有限。参与能力框架考虑了参与的背景，并检查了参与的前提，包括患者的自我效能、资源、意愿和能力。
本研究旨在通过参与能力框架的视角探讨与机制相关的临床医生和患者的观点，医疗机构如何通过这些机制促进患者参与。
方法/方法：我们向美国各地的临床医生和患者顾问进行了在线开放式调查，包括针对影响、障碍以及 PE 所需的技能和工具的问题。一个集中于 HCO 在促进参与方面的作用的共同主题出现了。我们的分析检查了所有标记为“医疗保健系统”代码的回复。
超过 750 名临床医生和患者顾问对我们的调查做出了回应。受访者确定了为患者提供管理其护理的建议和支持（自我效能）、提供促进沟通的工具（资源）、努力鼓励与患者的联系（意愿）以及对 HCO 员工进行文化能力和沟通技巧培训（能力）作为与参与相关的 HCO 的重要职能。
HCO 在支持患者与临床医生之间的强大伙伴关系方面发挥着重要作用。我们的研究确定了 HCO 可以履行这一角色的重要机制。
HCO 领导和管理可以帮助建立所提供的护理文化。提供适当沟通工具和促进文化能力护理的政策和倡议可以提高参与度。
