Italian consensus statement on patient engagement in chronic care: Process and outcomes

Guendalina Graffigna, Serena Barello, Giuseppe Riva, Massimo Corbo, Gianfranco Damiani, Primiano Iannone, Albino Claudio Bosio, Walter Ricciardi

Research output: Contribution to journalArticlepeer-review


Patient engagement has been recognized as a key priority in chronic care. However, scholars agree that guidelines are needed to ensure effective patient engagement strategies. To this end, a Consensus Conference process was promoted with the following methodological steps: (1) extensive literature review about patient engagement initiatives in chronic care; (2) a stakeholders survey to collect best practices and (3) workshops with experts. On the basis of the information collected, a consensus statement was drafted, revised, and finalized by a panel of select renowned experts. These experts agreed in defining engagement as an eco-systemic concept involving multiple actors all of which contribute to influence patients’ willingness and ability to engage in chronic care. Moreover, experts recommended, whenever possible, to adopt standardized instruments to assess engagement levels and related unmet needs. Then, experts strongly advised appropriate trainings for healthcare professionals about patient engagement strategies. Furthermore, the importance of promoting healthcare professionals’ wellbeing has been advocated. Family caregivers, as well as patients’ organizations-should be trained and engaged to increase the effectiveness of interventions dedicated to patients. Finally, experts agreed that digital technologies should be considered as a crucial enhancer for patient engagement in chronic care.

Original languageEnglish
Article number4167
Pages (from-to)1-27
Number of pages27
JournalInternational Journal of Environmental Research and Public Health
Issue number11
Publication statusPublished - Jun 1 2020


  • Chronic care
  • Consensus conference
  • Digital technologies
  • Guidelines
  • Health services research
  • Patient engagement
  • Recommendation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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