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What Are We Measuring, and Does It Matter for Patient Care?

[By Dr. David Edward Marcinko MBA]

OK; I admit it. I edited three major dictionaries on health insurance and managed care, health economics and finance, and health information technology and security. Each tome was comprised of 10,000 peer-reviewed terms, definitions, initialisms, acronyms and syllogisms, etc; for a total of 30,000 peer-reviewed entries. They have been very successfully received to date; throughout the entire medico-legal-business ecosystem.

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So, imagine my surprise when I just leaned that the concept of “patient engagement’ within the context of shared decision making [SDM] – which has been bantered about on this forum and the medical, nursing, legal, public health policy and  management community without real precision for decades – is in definitional limbo. And, I quote:

“In a rigorous systematic review, Dukhanin and colleagues categorize metrics and evaluative tools of the engagement of patient, public, consumer and community in decision-making in healthcare institutions and systems. The review itself is ably done and the categorizations lead to a useful understanding of the necessary elements of engagement, and a suite of measures relevant to implementing engagement in systems. Nevertheless, the question remains whether the engagement of patient representatives in institutional or systemic deliberations will lead to improved clinical outcomes or increased engagement of individual patients themselves in care. Attention to the conceptual foundations of patient engagement would help make this systematic review relevant to the clinical care of patients.”

Assessment

The publication is from the “International Journal of Health Policy and Management”, January 2019.

Now, I was asked to serve on their editorial review board about a year ago but demurred due to time constraints. Nevertheless, I am glad that the IJHPM is thriving and challenging conventional wisdom and the shibboleths we all seem to accept without proof.

And perhaps, SHOULD NOT.

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http://www.ijhpm.com/article_3550_3c3a114acab2338b472d63428ee3de5d.pdf

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Conclusion

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Filed under: Glossary Terms, Touring with Marcinko | Tagged: Patient engagement, Shared Decision Making |