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    Improving Health Outcomes Through Patient Education and Partnerships With Patients

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    manishms1
    The document discusses improving health outcomes through patient education and partnerships between patients and physicians. It makes three key points: 1. Physicians must spend more time educating patients to improve health literacy and enable lifestyle changes that can reduce chronic disease risks. This requires clearly explaining health information and ensuring patient understanding. 2. Developing patient health literacy takes time and effort from physicians. It is crucial for preventing disease by helping patients understand how diet, exercise, and other behaviors impact health. 3. The patient-physician relationship works best as a partnership, with shared responsibility and decision-making. Physicians must educate patients to make informed healthcare choices, while patients act on that knowledge.

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    Improving Health Outcomes Through Patient Education and Partnerships With Patients

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    manishms1
    39 views3 pages
    The document discusses improving health outcomes through patient education and partnerships between patients and physicians. It makes three key points: 1. Physicians must spend more time educating patients to improve health literacy and enable lifestyle changes that can reduce chronic disease risks. This requires clearly explaining health information and ensuring patient understanding. 2. Developing patient health literacy takes time and effort from physicians. It is crucial for preventing disease by helping patients understand how diet, exercise, and other behaviors impact health. 3. The patient-physician relationship works best as a partnership, with shared responsibility and decision-making. Physicians must educate patients to make informed healthcare choices, while patients act on that knowledge.

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    Improving Health Outcomes Through Patient Education and Partnerships with Patients

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    The document discusses improving health outcomes through patient education and partnerships between patients and physicians. It makes three key points: 1. Physicians must spend more time educating patients to improve health literacy and enable lifestyle changes that can reduce chronic disease risks. This requires clearly explaining health information and ensuring patient understanding. 2. Developing patient health literacy takes time and effort from physicians. It is crucial for preventing disease by helping patients understand how diet, exercise, and other behaviors impact health. 3. The patient-physician relationship works best as a partnership, with shared responsibility and decision-making. Physicians must educate patients to make informed healthcare choices, while patients act on that knowledge.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    39 views3 pages

    Improving Health Outcomes Through Patient Education and Partnerships With Patients

    Uploaded by

    manishms1
    The document discusses improving health outcomes through patient education and partnerships between patients and physicians. It makes three key points: 1. Physicians must spend more time educating patients to improve health literacy and enable lifestyle changes that can reduce chronic disease risks. This requires clearly explaining health information and ensuring patient understanding. 2. Developing patient health literacy takes time and effort from physicians. It is crucial for preventing disease by helping patients understand how diet, exercise, and other behaviors impact health. 3. The patient-physician relationship works best as a partnership, with shared responsibility and decision-making. Physicians must educate patients to make informed healthcare choices, while patients act on that knowledge.

    Copyright:

    © All Rights Reserved
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    of 3

    Baylor University Medical Center Proceedings

    The peer-reviewed journal of Baylor Scott & White Health

    ISSN: 0899-8280 (Print) 1525-3252 (Online) Journal homepage: https://www.tandfonline.com/loi/ubmc20

    Improving Health Outcomes Through Patient


    Education and Partnerships with Patients

    Timothy E. Paterick, Nachiket Patel, A. Jamil Tajik & Krishnaswamy


    Chandrasekaran

    To cite this article: Timothy E. Paterick, Nachiket Patel, A. Jamil Tajik & Krishnaswamy
    Chandrasekaran (2017) Improving Health Outcomes Through Patient Education and
    Partnerships with Patients, Baylor University Medical Center Proceedings, 30:1, 112-113, DOI:
    10.1080/08998280.2017.11929552

    To link to this article: https://doi.org/10.1080/08998280.2017.11929552

    Published online: 11 Dec 2017.

    Submit your article to this journal

    Article views: 7399

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    Citing articles: 61 View citing articles

    Full Terms & Conditions of access and use can be found at


    https://www.tandfonline.com/action/journalInformation?journalCode=ubmc20
    Improving health outcomes through patient education and
    partnerships with patients
    Timothy E. Paterick, MD, JD, MBA, Nachiket Patel, MD, A. Jamil Tajik, MD, and Krishnaswamy Chandrasekaran, MD

    “Each patient carries his own doctor inside him.” literacy is defined as the capacity to seek, understand, and act
    —Norman Cousins, Anatomy of an Illness on health information (4). The presumption has been that low
    health literacy means that physician communication is poorly

    T
    o improve health care outcomes, physicians must spend understood, leading to incomplete self-health management and
    more time with patients. The teaching physician’s in- responsibility and incomplete health care utilization (5). It is
    teraction with the patient must be enthusiastic, moti- the responsibility of physicians to proactively enable patients to
    vated, and responsive to the individual patient’s needs. have more accessible interactions and situations that promote
    For individual members of our society to realize the benefits of health and well-being. Health literacy is the primary responsi-
    physician health education, there is a need for a robust, hearty bility of physicians, given that it is physicians who determine
    engagement between patients and physicians. the parameters of the health interaction, including physical
    Interventions to improve self-care have led to documented setting, available time, communication style, content, modes
    improvements in self-efficacy. Self-efficacy is defined as one’s belief of information provided, and concepts of sound health care
    in one’s ability to succeed in specific situations, or accomplish decision crafting and acquiescence. There are communication
    certain tasks. One’s sense of self-efficacy plays a major role in how methodologies and behaviors that physicians can implement
    one approaches goals, tasks, and challenges regarding one’s health. to ameliorate the potential risks associated with limited patient
    Clinical benefits have been seen in trials of lifestyle intervention health literacy, including avoiding medical jargon, engaging in
    within a wide range of conditions such as diabetes, coronary heart patient questions, explaining unfamiliar forms, and using “teach
    disease, heart failure, and rheumatoid arthritis (1). back” as a method to ensure understanding (6).
    In the context of escalating health care costs and shock- Critical to any educational process is time. The develop-
    ing future cost projections, the potential for improved health ment of patient health literacy is crucial to our proven health
    outcomes through patient education and self-management pro- prevention measures of exercise and diet. Patients must have
    grams is immense. In the early 1990s, it was estimated that 50% a deep understanding of the impact healthy interventions can
    of the annual mortality toll in the US was premature. Tobacco have on their present and long-term health. Physicians will need
    use, poor diet, a lack of physical exercise, alcohol consump- to spend time and energy educating patients to see behavioral
    tion, exposure to microbial agents, use of firearms, risky sexual change that results in improved health outcomes and reduced
    behavior, motor vehicle accidents, and illicit drug use were the morbidity and mortality due to preventable chronic diseases
    culprits causing premature death. Approximately 80% of pre- such as diabetes, obesity, and coronary and cerebrovascular dis-
    mature deaths were due to tobacco use, dietary patterns, and a ease. As physicians, we will know when we have reached the
    low physical activity level (1). Clearly, these are all behaviors we threshold of being an excellent teacher by observing responsible
    could modify to reverse the trends. For those individuals who do patients.
    not smoke, eat healthy food, and participate in regular exercise The partnership between a physician and patient requires
    programs, the hazard ratio for diabetes, myocardial infarction, dual responsibility. Physicians have a duty to inform pa-
    stroke or cancer was 0.22 (2). tients how to achieve health and wellness, and patients have a
    There is a belief in the medical community that physical ac-
    tivity and diet can reduce the risk of developing coronary artery
    disease, hypertension, diabetes, and the metabolic syndrome. From the Division of Cardiology, Methodist Hospital, Dallas, Texas (Paterick);
    Division of Cardiology, University of Florida College of Medicine, Jacksonville,
    A comprehensive systematic review reinforced this notion by
    Florida (Patel); Division of Cardiology, Aurora Medical Group, Milwaukee,
    revealing that there is irrefutable, convincing evidence for the Wisconsin (Tajik); Division of Cardiology, Mayo Clinic, Rochester, Minnesota
    benefit of exercise in improving clinical outcomes in metabolic (Chandrasekaran).
    disorders, coronary heart disease, and heart failure (3). Corresponding author: Nachiket Patel, MD, Division of Cardiology, University of
    Physicians must promote patient education and engage- Florida College of Medicine, 655 W. 8th Street, Jacksonville, FL 32209 (e-mail:
    ment through improvement in patients’ health literacy. Health nachiketjpatel@gmail.com).

    112 Proc (Bayl Univ Med Cent) 2017;30(1):112–113


    responsibility to act on the information provided in their best consistent with the standard of care. It is fundamental to the
    health interest. Medical informed consent is essential to the patient-physician relationship that each partner understands
    physician’s ability to diagnose and treat patients, as well as the and accepts the degree of autonomy the patient desires in the
    patient’s right to accept or reject clinical evaluation, treatment, decision-making process (7).
    or both.
    Medical informed consent should be an exchange of ideas 1. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A.
    that buttresses the patient-physician relationship. The consent Improving chronic illness care: translating evidence into action. Health
    Aff (Millwood) 2001;20(6):64–78.
    process should be the foundation of the fiduciary relationship 2. Ford ES , Bergmann MM , Kröger J , Schienkiewitz A , Weikert C ,
    between a patient and a physician. Physicians must recognize Boeing H. Healthy living is the best revenge: findings from the Euro-
    that informed medical choice is an educational process and has pean Prospective Investigation into Cancer and Nutrition–Potsdam
    the potential to affect the patient-physician alliance to their study. Arch Intern Med 2009;169(15):1355–1362.
    mutual benefit. Physicians must give patients equality in the 3. Pedersen BK, Saltin B. Evidence for prescribing exercise as therapy in
    chronic disease. Scand J Med Sci Sports 2006;16(Suppl 1):3–63.
    covenant by educating them to make informed choices. Pa- 4. Nutbeam D. The evolving concept of health literacy. Soc Sci Med
    tients must use the educational process to make rational health 2008;67(12):2072–2078.
    choices. 5. Wills J. Health literacy: new packaging for health education or radical
    When physicians and patients take medical informed con- movement? Int J Public Health 2009;54(1):3–4.
    sent seriously, the patient-physician relationship becomes a 6. Consumer Assessment of Healthcare Providers and Systems (CAPHS).
    About CAPHS Item Set for Addressing Health Literacy [Document No.
    true partnership with shared decision-making authority and
    1311]. Washington, DC: Agency for Healthcare Research and Quality,
    responsibility for outcomes. Physicians need to understand 2009.
    informed medical consent from an ethical foundation, as 7. Paterick TJ, Carson GV, Allen MC, Paterick TE. Medical informed con-
    codified by statutory law in many states, and from a gener- sent: general considerations for physicians. Mayo Clin Proc 2008;83(3):
    alized common-law perspective requiring medical practice 313–319.

    January 2017 Improving health outcomes through patient education and partnerships with patients 113

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