Abstract
As patient engagement cannot be achieved without health professionals co-operation and agreement, attention to the clinicians’ views and attitudes about patient engagement is essential in order to deepen potential enablers and barriers for its implementation. This qualitative study aimed to identify health professionals’ attitudes towards patient engagement and the perceived hindrances and facilitators to the implementation of the patient engagement strategies in their routine practice with a particular focus of health information technologies for patient engagement. It identifies the dimensions underlying patient engagement realization, namely clinicians’ “Meanings and attitudes towards patient engagement”, “practical experience of patient engagement”, and “being a health professional in the era of patient engagement”, as well as highlights the fashion in which these dimensions operate will either activate or inhibit patient engagement innovation. Finally, the study highlighted the great potential of health technologies to support patient engagement if they are enablers of the patient-clinician relationship and not replace it.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Hibbard, J.H., Mahoney, E.: Toward a theory of patient and consumer activation. Patient Educ. Couns. 78(3), 377–381 (2010)
Barello, S., Graffigna, G., Vegni, E.: Patient engagement as an emerging challenge for healthcare services: mapping the literature. Nurs. Res. Pract. 7 (2012)
Forbat, L., Cayless, S., Knighting, K., Cornwell, J., Kearney, N.: Engaging patients in health care: an empirical study of the role of engagement on attitudes and action. Patient Educ. Couns. [Internet] 74(1), 84–90 (2009)
Pelletier, L.R., Stichler, J.F.: Action brief: patient engagement and activation: a health reform imperative and improvement opportunity for nursing. Nurs. Outlook [Internet] 61(1), 51–54 (2013)
Hibbard, J.H., Greene, J., Shi, Y., Mittler, J., Scanlon, D.: Taking the long view: how well do patient activation scores predict outcomes four years later? Med. Care Res. Rev. [Internet] 72, 324 (2015)
Alexander, J.A., Hearld, L.R., Mittler, J.N., Harvey, J.: Patient-physician role relationships and patient activation among individuals with chronic illness. Health Serv Res. 47(3 Pt 1), 1201–1223
Graffigna, G., Barello, S., Riva, G.: How to make health information technology effective? The challenge of patient engagement. Arch. Phys. Med. Rehabil. (2013)
Graffigna, G., Barello, S., Bonanomi, A., Menichetti, J.: The motivating function of healthcare professional in eHealth and mHealth interventions for type 2 diabetes patients and the mediating role of patient engagement. J. Diabetes Res. 2016 (2016)
Barello, S., Graffigna, G., Vegni, E.: Patient engagement as an emerging challenge for healthcare services: mapping the literature. Nurs. Res. Pract. [Internet] 2012, 1–7 (2012)
Gallivan, J., Burns, K.K., Bellows, M., Eigenseher, C.: The many faces of patient engagement. J. Particip. Med. [Internet] 4, e32 (2012)
Sandman, L., Granger, B.B., Ekman, I., Munthe, C.: Adherence, shared decision-making and patient autonomy. Med. Health Care Philos. 15, 115–127 (2012)
Edwards, A., Elwyn, G.: Inside the black box of shared decision making: distinguishing between the process of involvement and who makes the decision. Health Expect [Internet] 9(4), 307–320 (2006). http://www.ncbi.nlm.nih.gov/pubmed/17083558
Barello, S., Graffigna, G.: Engagement-sensitive decision making: training doctors to sustain patient engagement in medical consultations. Patient Engagement: Consum.-Centered Model Innovate Healthcare (2016)
Kaba, R., Sooriakumaran, P.: The evolution of the doctor-patient relationship. Int. J. Surg. 5, 57–65 (2007)
Remmers, C., Hibbard, J., Mosen, D.M., Wagenfield, M., Hoye, R.E., Jones, C.: Is patient activation associated with future health outcomes and healthcare utilization among patients with diabetes? J. Ambul Care Manag. 32(4), 320–327 (2009)
Hibbard, J.H., Mahoney, E.R., Stock, R., Tusler, M.: Do increases in patient activation result in improved self-management behaviors? Health Serv. Res. 42(4), 1443–1463 (2007)
Graffigna, G., Barello, S., Bonanomi, A.: The role of patient health engagement model (PHE-model) in affecting patient activation and medication adherence: a structural equation model. PLoS One 12(6) (2017)
Barello, S., Graffigna, G., Pitacco, G., et al.: An educational intervention to train professional nurses in promoting patient engagement: a pilot feasibility study. Front. Psychol. 2020 (2017)
Greene, J., Sacks, R.M., Hibbard, J.H., Overton, V.: How much do clinicians support patient self-management? The development of a measure to assess clinician self-management support. Healthcare [Internet] (2016)
Graffigna, G., Barello, S., Riva, G., Savarese, M., Menichetti, J., Castelnuovo, G., et al.: Fertilizing a patient engagement ecosystem to innovate healthcare: toward the first Italian consensus conference on patient engagement. Front. Psychol. 8(Jun), 1–6 (2017)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering
About this paper
Cite this paper
Barello, S., Graffigna, G. (2018). Tools and Technologies for Patients and Caregivers Engagement: A Qualitative Analysis of Health Professionals’ Attitudes and Day-to-Day Practice. In: Cipresso, P., Serino, S., Ostrovsky, Y., Baker, J. (eds) Pervasive Computing Paradigms for Mental Health. MindCare 2018. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 253. Springer, Cham. https://doi.org/10.1007/978-3-030-01093-5_18
Download citation
DOI: https://doi.org/10.1007/978-3-030-01093-5_18
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-01092-8
Online ISBN: 978-3-030-01093-5
eBook Packages: Computer ScienceComputer Science (R0)