If you were to show up in Alan Glaseroff’s office as a person with diabetes and, let’s say, numerous complications, putting you into that group of 5% of Americans whose care consumes 50% of the national health care spend, he would ask you: What bothers you the most? in order to start developing a patient-centered plan of care. The visit would likely end with a discussion of the question: If things go well, what do things look like a year from now? What are your goals?
By focusing on the patient’s goals, and developing a multi-pronged approach to helping patients achieve those goals, Glaseroff and his team are able to introduce behavior change that will improve a patient’s health, and help patients achieve better-than-avergage adherence to new, healthy behaviors, and a significant reduction in the burdens of disease. Glaseroff says:
[To quote] Don Berwick . . . “People need to become citizens in the improvement of their own work.” . . . I think self-management is the similar idea that patients need to become citizens in the improvement of their own health — [as] subjects rather than objects . . . . [This can allow] you [to] design very specific workflows for patients that much better meet their needs than telling people what to do — which is usually the model of medicine practiced in the context of chronic illness.
Join Alan Glaseroff at Diabetes Innovation 2013, and hear more about his patient-centered approach to primary care and chronic disease management.
Have a listen to our interview (press play); read the transcript after the jump.