How Can We Get People Engaged in Their Own Health?

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That's a central question, beautiful question, and it's formidable. You're talking about behavior change and how do you influence somebody to modify something they're used to often, somebody starts giving them some new advice goes on, their fears, you're right, the frequency of inattention to doctors advice is very widespread.

I would say as with any other thing you've got to go repeatedly at them. The old adage is, in order to get somebody to put their seatbelt together it takes about 14 times in which they're told to do that. It's got to be consistent, it's got to be on the present, and I think they're seeing that.

Take something for example, you can say, can you get people to change at all? Well look at the difference in smoking today as opposed to some years. Ago and I would say there are trends happening which are valuable, it doesn't happen right away you have to realize the heregenious nature of the patient population and you've got to talk in terms that people understand and also find the ways to engage them to do something.

That's basically what people who do psychotherapy do and behavior change is what we need, it's needed in terms of diet exercise all the good things that you and I know. So I guess the question is can we do it? Yes but we've got to have total dedication to it and doctors have to work and providers who are not everyday doctors have to work to engage their patients.

There are other things that are helping and that is that there's more attention in the way we evaluate providers in terms of their relations of the patients. So when you say something patient satisfaction is measured, if a patient likes the doctor or the nurse or the provider, they often are more inclined to do what they want than if they see them as a kind of emotionally dead kind of a neutral individual.