Abstracts by key term: Shared decision making
Patient coaching as an innovative service in healthcare serves the purpose of promoting therapy adherence (compliance, adherence), active participation and self-management of patients in overcoming their illness, taking into account individual preferences. In this episode, examples are given of the efficiency reserves that can be expected from patient coaching compared to the effects of drug discount agreements, and that some health insurance companies have integrated patient coaching programs into their care management as pilot projects. A classification matrix is presented for more transparency of coaching programs. In addition, numerous open questions are addressed, which could be answered by appropriate health services research.
01.10.2009
Patient coaching as an innovative service in the healthcare system serves the purpose of promoting compliance, adherence, active participation and self-management of patients in coping with their illness, taking individual preferences into account. In this article, based on a definition of patient coaching, its necessity is derived from the high non-compliance or non-adherence rate, particularly among chronically ill and multimorbid patients. These are patients who require approximately 4/5 of all services provided by the health system. Compliance and adherence are described in terms of their importance as descriptive markers for the quality of patient cooperation in the treatment process. It should be noted that they should also be questioned with regard to their different causes (e.g. system-related, communication-related, individual/preference-related) so that a targeted and promising intervention can result in individual cases.