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Case Management

12 Surprising Facts About Patient Engagement
By Richard Scott
August 20, 2012

Care Coordination

When it comes to chronically ill patients, there appears to be a continual lack of coordinated care, particularly among transition points.

24%
Nearly one-quarter, or 24 percent, of chronically ill adults have visited a provider who did not have their needed test results.

91%
A whopping 91 percent of chronically ill patients did not receive a written plan of care when they were discharged from the hospital.

72%
Nearly three-quarters of patients, or 72 percent, who left the hospital did so without arranging for a follow-up visit with a physician or other healthcare provider.



Paying for Care

Despite the availability of quality-based tools to compare healthcare providers and services, most patients do not take advantage of such tools.

33%
Just one-third of patients who have a choice of health plans researched their options before making a decision about which one to choose.

44%
Fewer than half of privately insured individuals reported talking to their doctor about treatment options and costs.



Medication Adherence

When facing decisions about prescription drugs, many patients fail to adhere to their doctor's recommendations.

25%
One in four chronically ill older adults reported not complying with their doctor's recommendations about prescription drug regimens. Failure to comply includes not filling prescriptions, scheduling follow-ups and making lifestyle change.


Prevention

52%
Despite the growing number of wellness and prevention options, more than half, or 52 percent, of individuals do not undertake preventive or routine healthcare, like physical examinations and regular check-ups.



End of Life

Care options at the end of life remain a murky proposition.

46%
For caregivers, fewer than half were sure what their care recipients desired when it comes to end-of-life care as their diseases progressed. Additionally, about half (49 percent) of patients had signed a durable power of attorney and just 45 percent had a living will.



Array

Dr. Gruman will present the keynote presentation at the Care Coordination Summit in Washington, D.C., on September 14. Her morning session is titled Four Things Patients Want to Know About Our Engagement in Our Care.

Learn more about the
Center for Advancing Health.

Pages: 12
Comments (3) for Story Comment
1.
Wow, 91 percent of chronically ill patients do not receive a written plan of care when they are discharged? That is amazing given the focus on reducing readmission. Does this seem consistent with what other readers are seeing?
Posted by Peter Eggleston on Tuesday, August 21, 2012 @ 02:52 PM
2.
yes, Peter, I am of the 9% that gets agitated easily if I don't get adequate information upon leaving an appointment or as of recent discharge info from ER or Hospital and am amazed at the number of people who don't have any idea where or what to do once they leave (having talked with other patients who have asked about my level of agitation)
Posted by Pat on Thursday, August 30, 2012 @ 10:55 PM
3.
I agree with Pat, this statistic seems realistic to me. My organization does post-hospitalization outreach to patients telephonically on behalf of their self-funded major medical employer sponsored health plan. It is the exception when a patient says that "yes, I got a piece of paper with discharge instructions on it"....now, being a nurse, I know that we gave DC instructions to every patient leaving the hospital...however, in my experience, the majority of the time the patient doesn't assimilate the information (and doesn't even realize that piece of paper has discharge instructions on it). And don't even get me started about the lack of meaningful content in the discharge instructions that ARE given....
Posted by Deb on Tuesday, September 25, 2012 @ 11:32 AM

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