Question

In: Nursing

After watching the video, “A Patient’s Journey: Meaningful Use Stage 3 and MIPS,” think about the...

After watching the video, “A Patient’s Journey: Meaningful Use Stage 3 and MIPS,” think about the patient journey and the degree of involvement required by patients to engage in shared decision making with the provider. For this discussion, address the following in your post:

  • What are some potential barriers in the patient journey that may affect patient engagement?
  • What are some possible solutions to overcome these barriers?

Solutions

Expert Solution

A Patient’s Journey: Meaningful Use Stage 3 and MIPS:

  • Patient's journey and the degree of involvement required by patients to engage in shared decision making with the provider:

Patient-centered healthcare system is a foremost feature of high quality health care which ensures providing medical care that is respectful and responsive to patients.
The health care system should involve patients and families in decision making process which should be consistent with their needs, values and preferences. Recent studies in this area shows that clinicians asks for preferences of patient’s regarding their decision making in treatment only about half the time.

  • What are some potential barriers in the patient journey that may affect patient engagement?

There are number of obstacles which prevent the involvement of patient in decision making. That included the following:
. Emotional state of the patient
. Financial situation of the patient and his family
. Logistical consequences of the diagnosis
. Complexity of treatment options
. Limitation of patient in health literacy
. Lack of experience with the health care system.
. Clinicians often lack training in effective communication with parents
. Lack of understandable and easily available information on whole treatment

  • What are some possible solutions to overcome these barriers?

Patient centered health care system must ensure good communication between patient and the health caregivers .
. Developing and implementing evidence based information to inform patients, caregivers and the treatment team which practise shared decision making
. Better training of clinicians in effective communication with patients which helps recognising and responding to emotional and informational needs of patient.
. Ensuring easily availability of informations such as prognosis, treatment options, likelihood of treatment responses, palliative care, psychological support, cost of treatment.
. Coordination and integration of medical care.
. Providing emotional support for relieving fear and anxiety as well as addressing mental health issues.

Health care system should ensure a patient-centered communication which incorporates following main functions:
. Effective exchange of information
. Promotes healing relationships
. Empathetic response to emotions
. Effective management of uncertainty
. Efficient decision making
. Encouraging self-management of patient
These skills need to be developed and maintained and which will later reflect in the quality of patient-clinician interactions and thus ultimately influence better outcome of patient’s health.


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