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NEJM Catalyst Insights Report: Health Care Professionals Want Greater Patient Involvement When Designing Patient Engagement into Care Delivery

Patients should be the most important participant in designing patient engagement into care delivery, with nurses/care teams and physicians rounding out the top three, according to the recent NEJM Catalyst Insights Report “Hardwiring Patient Engagement into Care Delivery Processes.”

NEJM Catalyst Insights Reports are based on surveys of the NEJM Catalyst Insights Council, a qualified group of U.S. executives, clinical leaders, and clinicians at organizations directly involved in health care delivery. They focus on four key areas: Care Redesign, Leadership, Patient Engagement, and the New Marketplace.

Although care teams devoted to complex patients are considered extremely effective or very effective by more than half of respondents, 63% of Council members say the time investment required by the health care teams to participate in design is too great. Therefore, other approaches that rely less on direct clinician involvement such as technology tools and social networks should be embedded into patient engagement.

“For patient engagement to optimally impact quality and cost of care, it would be desirable for less of the load to be borne by care teams, with technology tools and patients’ social networks bearing more,” says Kevin Volpp, MD, PhD, director of the University of Pennsylvania’s Center for Health Incentives and Behavioral Economics and NEJM Catalyst Patient Engagement Theme Leader. Volpp also is a member of the NEJM Catalyst Leadership Board.

Technology tools (e.g. remote devices) and social networks rate well in effectiveness (extremely effective, very effective, and effective), scoring 72% and 59% respectively. Patient adoption, always a challenge in patient engagement, ranks second among greatest design challenges.

Good patient engagement reaps solid rewards, according to respondents: 90% say it has a major or moderate impact on quality of care and 75% say it has a major or moderate impact on cost of care.

For more on the NEJM Catalyst Insights Report on Patient Engagement, visit: An index of all NEJM Catalyst Insights Reports can be found here:


About NEJM Catalyst
NEJM Catalyst offers a combination of multimedia content, web events, expert panels, and new research. NEJM Catalyst connects health care executives, clinical leaders, and clinicians with practical approaches and actionable steps to implement changes in their organizations that improve the value of health care delivery and patient care.

About NEJM Group
NEJM Group creates high-quality medical resources for research, learning, practice, and professional development. Designed to meet the demand for essential medical knowledge and innovation among academic researchers and teachers, physicians, clinicians, executives, and others in health care, NEJM Group products include the New England Journal of Medicine, NEJM Journal Watch, NEJM Knowledge+, and NEJM Catalyst. NEJM Group is a division of the Massachusetts Medical Society. For more information visit

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