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Advances in medicine, technology and health care services have contributed to increases in the length and quality of life for many Americans and hold promise for future gains. But to realize the potential of these advances to prevent and treat disease, we must be willing and able to effectively perform many unfamiliar, often complex tasks.
This collection of essays from my Good Behavior! series explores the challenges we face as we discover that our traditional passive response to illness simply doesn’t work anymore. We are learning—often the hard way—that we must be actively, knowledgeably involved in finding and using safe decent health care if we are going to benefit from it.
How Easily We Can Misinterpret the Benefits of Patient-Centered Innovation!
May 8, 2013
Here's the bad news: We will not benefit from the health care services, drugs, tests and procedures available to us unless we pay attention, learn about our choices, interact with our clinicians and follow through on the plans we make together.
The "True Grit"-tiness of Sharing Health Care Decisions with Our Doctors
May 1, 2013
In the Coen brothers remake of the 1969 movie True Grit, Mattie Ross, an intrepid 14-year-old, is determined to hunt down and kill the man who murdered her father. To accomplish this, she hires U.S. Marshal Rooster Cogburn, (played by a mumbling Jeff Bridges) a rough, one-eyed veteran of many such quests then announces that she plans to come along. She figures she is prepared.
Bad Language: Words One Patient Won't Use (and Hopes You Won't Either)
April 24, 2013
When I read Trudy Lieberman’s post yesterday, I was reminded that the highly charged political debates about reforming American health care have provided tempting opportunities to rename the people who receive health services. But because the impetus for this change has been prompted by cost and quality concerns of health care payers, researchers and policy experts rather than emanating from us out of our own needs, some odd words have been called into service.
Whose Patient Engagement Goals Are We Talking About?
April 17, 2013
What we look for when we participate actively in our health care differs from what our clinicians, employers and health plans believe will result when we shift from being passive to active participants. We don't have the same goals in mind. Does this matter?
Has Patient Engagement Stalled?
April 10, 2013
A few discouraging reports on patient engagement have skittered across my desk in the past few weeks. What's going on? Why are so many of us so slow to engage in our care when it is increasingly clear that we will do better if we participate more fully? Here's what I suspect...


