Tag Archives: Doctor-patient relationships

Patient Experience

Patient-Provider Communication in a Diverse Culture

Patients and families benefit from strategies that empower them to actively participate with clinicians. The nuance of understanding required to support effective healthcare relationships, however, can be hard to achieve when communication styles make it difficult for clinicians and patients to understand each other. In addition to other stresses, English spoken with regional or foreign […]


Lorri Zipperer Lorri Zipperer, MA, is the principal at Zipperer Project Management in Albuquerque, New Mexico. Lorri was a founding staff member of the US-based National Patient Safety Foundation. Through her work, she promotes a systems-safety orientation to evidence, information and knowledge service (EIK). Lorri's efforts focus on bringing multidisciplinary teams together to envision, design and implement EIK initiatives. She has also been the development editor for the US government-funded AHRQ Patient Safety Network since its inception. Lorri was recognized with an Institute for Safe Medication Practices “Cheers” award for her work with librarians, libraries and their involvement in patient safety. She has designed classes and outreach focused on the value of a system-oriented approach to evidence and information access as a strategy to mitigate diagnostic error. Ms Zipperer spearheaded and contributed to two edited texts on knowledge management and evidence, information and knowledge transfer in patient safety. Her recent editorial collaborations with The Risk Authority Stanford include two projects supporting innovation in healthcare risk management. In her spare time, Lorri is a mystery novelist.

Lorri Zipperer has 1 post(s) at EngagingPatients.org

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Shared Decision Making

Engaging in Uncertainty

Patient engagement is often described in the context of shared decision-making or health literacy. Engaged patients educate themselves, ask questions and make informed choices: Which approach to cancer treatment is right for me? How can I change my diet to improve my health? What do I need to know to ensure I’m managing my parents’ […]

Patient Engagement, Uncategorized

Physical Therapy: Platform for Patient Engagement

For me, a yoga mat and foam roller count as professional tools. They also represent my personal commitment to patient engagement. I’ve worked as a writer and editor for a long time and, most days, spend hours sitting at the computer. That and other things I sometimes overdo—gardening, dancing, life in general—lead to aches and […]


Susan Carr Susan Carr is a medical editor and writer specializing in patient safety and engagement. In addition to curating the EngagingPatients blog, she produces publications for the Betsy Lehman Center in Boston and the Society to Improve Diagnosis in Medicine. Susan lives and works in Lunenburg, Massachusetts.

Susan Carr has 185 post(s) at EngagingPatients.org

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Shifting the Paradigm

The engaged patient is an anomaly. Let’s fix the paradigm.

For years this blog has been discussing the value and legitimacy of engaging patients as a path to better care. Yet we don’t see a stampede of people—providers or patients—rushing to do it. Why not? I’ve been advocating for participatory medicine for years, more than 500 events in 15 countries. Through that experience, I’ve observed […]


Dave deBronkart, known on the internet as e-Patient Dave, is author of Let Patients Help: A Patient Engagement Handbook and one of the world’s leading advocates for patient engagement. After beating stage IV kidney cancer in 2007, he became a blogger, health policy advisor and international keynote speaker. An accomplished speaker in his professional life before cancer, he is today one of the best-known spokesmen for the patient engagement movement. Dave is also a co-founder (with his physician) and chair emeritus of the Society for Participatory Medicine. Dave’s TED Talk, “Let Patients Help,” went viral. Volunteers have added subtitles in 26 languages, indicating the global appeal of his message. In 2012 the National Library of Medicine announced that it would capture his blog in its History of Medicine Division, and in 2015 he was the Mayo Clinic’s Visiting Professor in Internal Medicine.

e-Patient Dave deBronkart has 2 post(s) at EngagingPatients.org

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Effective Communication SKills

Difficult Conversations Are Everyday Practice for Physicians

Emotions are messy. No one taught me about that in medical school; I thought only psychiatrists had to deal with emotions. I was going to be an internist; I’d only have to deal with emotions if something really bad happened. Not that anyone taught me how to cope with the really bad stuff. In my […]


Jenni Levy, MD, FAACH Jenni Levy, MD, FAACH is president of the American Academy on Communication in Healthcare (www.AACHonline.org). She graduated from Princeton University with a degree in English and American studies, and received her MD from New York Medical College. She completed a residency and fellowship in internal medicine and primary care at Kaiser Hospital in Santa Clara, California, worked as a clinician/educator, and practiced primary care internal medicine for 20 years before becoming board-certified in hospice and palliative care in 2008. Levy has been involved with AACH since 1995. Her professional interests include cross-cultural practice, relationship-centered care, and integrating facilitator training into graduate medical education. Levy lives in Allentown, Pennsylvania, with her husband and their daughter.

Jenni Levy, MD, FAACH has 1 post(s) at EngagingPatients.org

Effective Communication SKills

Patients’ Communication Skills Matter, Too

The patient safety movement and efforts to honor patients’ preferences emphasize the importance of skillful communication on the part of physicians and other clinicians. Less attention has been paid to the effect of patients’ communication skills. In addition to catching errors, patients can use effective communication skills to improve their health and the medical services […]

Paths to Improved Patient Engagement

Transparency: A Powerful Approach to Fostering Trust Among Patients

The other day, I simply couldn’t convince my patient, a 56-year-old executive vice president with known heart disease and high cholesterol, to take a potentially life-saving cholesterol-lowering drug, or “statin.” He mentioned that his prior doctor, whom he trusted, warned him of the harmful and irreversible effects statins have on muscle tissue. No matter how […]


John N. Mafi, MD, MPH John N. Mafi, MD, MPH is an assistant professor of medicine at the David Geffen School of Medicine at UCLA where he also practices and teaches general internal medicine and primary care. He also is an affiliated adjunct natural scientist at RAND Corporation. He is interested in innovations and policies that can improve the quality and lower costs of care. In particular, he is interested in evaluating factors related to low value care as well as assessing the impact of transparency on patient engagement and the quality of care.

John N. Mafi, MD, MPH has 1 post(s) at EngagingPatients.org

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2016 JQS Award Winner

Transforming Healthcare: Iora Health’s Innovative Model Focuses on Building Deep Relationships with Patients

Editor’s Note: Iora Health was named 2016 John Q. Sherman Award for Excellence in Patient Engagement winner for Dartmouth Health Connect, an innovative project that is transforming the way healthcare is delivered. The model has eliminated fee-for-service and is transforming traditional care: Instead, the practice focuses on building partnerships and deep relationships with patients. Their […]


Joel Lazar, MD, MPH Dr. Joel Lazar serves as Medical Director of Dartmouth Health Connect, a primary care practice in Hanover, NH, and is also a member of the Clinical Leadership Council of Iora Health, the practice's parent company. Dr. Lazar received his BA and his MD from the University of Pennsylvania, and completed his residency in Family Medicine at Thomas Jefferson University Hospital in Philadelphia. He has also earned an MPH from The Dartmouth Institute for Health Policy and Clinical Practice. Prior to his work with Iora Health, Dr. Lazar served in clinical and leadership roles first with the Indian Health Service in Shiprock, NM, and then in the Department of Community and Family Medicine at Dartmouth-Hitchcock Medical Center in Lebanon, NH.

Joel Lazar, MD, MPH has 1 post(s) at EngagingPatients.org

Effective Communication SKills

Creating a New Standard for Communication: The G.R.E.A.T.™ Service Standard

Editor’s Note: This is Part II of Setting the Standard for Engaging and Activating Patients detailing a new standard for communication Dr. Scaletta and his team created to improve patient engagement at every touch point. My healthcare system closed calendar year 2015 on a high note. We trained 7,000 employees and medical staff across our […]


Tom Scaletta, M.D. Dr. Tom Scaletta is board certified in both emergency medicine and clinical informatics. He is the medical director of patient experience and the emergency department chair at Edward-Elmhurst Healthcare (https://healthydriven.com), past president of the American Academy of Emergency Medicine and a national speaker on emergency department operations and patient satisfaction. Tom designed a computerized patient communication system praised by the Robert Wood Johnson Foundation and Urgent Matters (George Washington University).

Tom Scaletta, M.D. has 6 post(s) at EngagingPatients.org

Cultural Sensitivity in Medicine

Race and Ethnicity, and Engagement That’s Right

A few years ago, I was upgraded to First Class on a flight from California back to Chicago. Not long after I settled in, a tall, muscular man easily four inches taller than me walked up to my aisle seat in the first row and prepared to sit by the window. I envisioned him spending […]