Fertilizing a patient engagement ecosystem to innovate healthcare: Toward the first Italian Consensus conference on patient engagement

Guendalina Graffigna, Serena Barello, Giuseppe Riva, Mariarosaria Savarese, Gianluca Castelnuovo, Anna Marta Maria Bertoni, Sarah Francesca Maria Bigi, Silvia Donato, Walter Ricciardi, Julia Paola Menichetti Delor, Massimo Corbo, Alessandra Tzannis, Silvia Gilardi, Chiara Guglielmetti, Silvia Maria Teresa Ostuzzi, Livio Provenzi, Albino Claudio Bosio, Antonio Aglione, Donato Bettega, Daniela BruttomessoClaudia Carzaniga, Laura Del Campo, Michele Gulizia, Mara Lastretti, Valeria Mastrilli, Antonino Mazzone, Giovanni Muttillo, Silvia Ostuzzi, Gianluca Perseghin, Natalia Piana, Giuliana Pitacco, Gianluca Polvani, Massimo Pozzi, Giulia Quaglini, Paola Varese, Natalia Visalli, Elena Vegni

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)


Currently we observe a gap between theory and practices of patient engagement. If both scholars and health practitioners do agree on the urgency to realize patient engagement, no shared guidelines exist so far to orient clinical practice. Despite a supportive policy context, progress to achieve greater patient engagement is patchy and slow and often concentrated at the level of policy regulation without dialoguing with practitioners from the clinical field as well as patients and families. Though individual clinicians, care teams and health organizations may be interested and deeply committed to engage patients and family members in the medical course, they may lack clarity about how to achieve this goal. This contributes to a wide "system" inertia-really difficult to be overcome-and put at risk any form of innovation in this filed. As a result, patient engagement risk today to be a buzz words, rather than a real guidance for practice. To make the field clearer, we promoted an Italian Consensus Conference on Patient Engagement (ICCPE) in order to set the ground for drafting recommendations for the provision of effective patient engagement interventions. The ICCPE will conclude in June 2017. This document reports on the preliminary phases of this process. In the paper, we advise the importance of "fertilizing a patient engagement ecosystem": an oversimplifying approach to patient engagement promotion appears the result of a common illusion. Patient "disengagement" is a symptom that needs a more holistic and complex approach to solve its underlined causes. Preliminary principles to promote a patient engagement ecosystem are provided in the paper.
Original languageEnglish
Pages (from-to)812-N/A
JournalFrontiers in Psychology
Publication statusPublished - 2017


  • Chronic care
  • Consensus conference
  • Italy
  • Patient engagement
  • Psychology (all)


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