Quality Data Is Essential for Doctors Concerned with Patient Engagement

患者参与——使患者能够积极参与自己的医疗保健并激励他们改善个人健康结果和降低成本的策略——在护理团队的推动下最有效。

虽然医生和护理团队不能强迫病人参与到他们自己的护理中来，但给医生提供他们需要的信息和工具是这个过程中的一个基本步骤。正是这些数据赋予了医生和护理团队与患者互动的能力。

有了自己的工具和获取信息的途径，患者就会参与到自己的护理中来。这很重要，因为参与其中的患者对他们的提供者和护理有更大的信任，这最终会带来更大的满意度和改善患者的体验。参与其中的患者往往更健康，结果也更好。

Data Enables Physicians to Engage Patients Efficiently

Physician access to comprehensive, reliable data is one vital ingredient for efficiently engaging patients. The challenge, however, is the lack of a unifiedhealthcare data多个医疗保健数据源之间的源互连或真实互连。从个人电子病历、数据仓库和个性化数字医疗设备产生的数据宇宙，我们的数据丰富，但收集和分析不足。

I’m an internal medicine physician by training, and I’ve experienced the ups and downs of practicing medicine with varying amounts of data. On the one hand, I generally had solid information about encounters with each of my patients, though it wasn’t always as accessible as I would have liked. On the other hand, if a patient received care elsewhere, I’d have spotty data to work with. I had to take what I could get or invest time and effort into tracking down the information.

Today, however, as managing populations of patients becomes more and more essential to the viability of our healthcare system, spotty data will no longer suffice. Data aggregated from across the continuum of care is, in fact, key to enabling doctors and their care teams to manage populations of patients. Data drives efficiencies by letting care teams know which patients are high-risk or in need of preventive or follow-up care. With this data in hand, care teams are prepared to engage the patients who need it most—while gaining efficiency in the practice. The practice receives the data, an automated system flags the patient, the care team engages the right patients to come into the office, and the physician intervenes where that clinical expertise is required most.

医生通常都想让病人参与进来，但他们没有太多时间这样做。根据兰德公司2013年的一项研究，80%的医生表示，他们对电子病历不满意，因为记录时间增加了，病人参与的时间减少了。这是我们的临床环境需要尽可能高效运作的另一个原因。当我的诊所将病人引入我们的工作流程时，我不得不承认，从我的观点来看，这有时是一种负担。它只是引入了更多的工作。我在看病人的漫长一天快结束时，却发现有20条病人发来的信息需要回复。数据驱动的效率会让我有更多时间亲自回复我的护理团队标记为需要我关注的信息。这将会改善医疗服务，以及病人和医生的满意度。

The Perils of Bad Data

Few things turn physicians off of data-driven approaches to managing patient populations more than bad data. In my practice, I’ve been handed lists of patients identified as lacking preventive care and, frankly, I knew the list wasn’t accurate. For example, I once received a list of patients to contact for a colonoscopy, and I knew that many of them had already been screened. I didn’t trust the list, so I didn’t want to work from it. My staff and I simply didn’t have the time to devote to schedule these patients for a colonoscopy if they didn’t really need one.

Unfortunately, bad data exists because it comes from multiple sources and is presented in multiple formats. Capture methods are inconsistent, resulting in both structured and unstructured data. It has subjective definitions depending on who is using it. And data is complex with multiple variables and changing regulatory requirements that call for changing data sets.

Quality data is essential. If care teams and physicians don’t have good data, they end up wasting effort and resources on patients who don’t need their attention. In the grand scheme of things, of course, every member of the population needs to be engaged to some extent. But practices seeking to increase quality and lower costs have limited resources, and it’s no secret that high-risk patients require our attention much, much more.

Good Data Drives a Culture of Quality

从我作为一名医生的经历以及为一家专门从事数据驱动质量改进的公司工作的经历来看，质量改进的文化对激励医生与患者互动大有裨益。所有的医生都希望为病人提供高质量的医疗服务。一个由数据驱动的环境可以让医生时刻牢记这一品质。一个在高质量文化中执业的医生不只是每天看25到30个病人然后回家。数据聚焦于护理，驱动基于证据的决策，并使过程和工作流改进。它可以让医生专注于最重要的事情——改善生活、质量和结果。

Patient Engagement Matters to Patients, too

I’ll end with a personal note. Several years ago, my dad was diagnosed with cancer. My parents’ generation isn’t particularly tech-savvy, so they didn’t use patient portals or other methods of communication with the care team. Their engagement with their physician was limited to the specific amount of time they had with him during the appointment.

他们生活中最快乐的事情之一就是当我的父亲有一个预约或手术时，医生会打电话告诉我结果，问我的父亲怎么样了，并看看我的父母是否有什么问题。医生花在我父母身上的短暂时间是他们订婚的最大亮点。事实上，他们会打电话告诉我这件事。他们会告诉我:“医生刚打电话来。这不是很好吗?”

我想到这一点以及我自己接触病人的经历。这种互动让医学实践真正令人满意。但限制因素是时间。通过使用数据让医生更有效率，我们腾出时间来进行真正有意义的互动。

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