Coulter et al (2008) provide suggestions for how efforts to increase patient engagement could be assessed at a national, regional and practice level.
At a national level:
explicit standards or targets can require care providers to demonstrate their competence in patient education and to provide evidence of patient involvement in decision-making
these standards might also require evidence of support for self-management and of provision of health information and decision aids in a variety of formats
incentive-based or competitive systems, including choice mechanisms or specific contractual requirements, can be used to motivate change among care providers
also, coordinated patient survey programmes have been shown to be a useful way of monitoring performance across the system, by requiring care providers to undertake systematic surveys of patients’ experiences and to publish the results.
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