MINNESOTA
SEPTEMBER 2018
PHYSICIAN
THE INDEPENDENT MEDICAL BUSINESS JOURNAL
Volume XXXII, No. 06
Motivational interviewing Helping patients change behaviors BY MIA CROYLE, MA, AND JANE PEDERSON, MD, MS
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ach of us working in health care believes we can have a positive impact on the health and well-being of our patients. Recognizing that clinical care accounts for only 20 percent of a patient’s well-being, we can add significantly to our impact by influencing patient behaviors, which account for another 30 percent of their health and well-being. One tool that physicians and other clinicians can use to support patient behavioral change is Motivational Interviewing (MI)—a collaborative, goal-oriented style of communication developed in part by clinical psychologists William R. Miller and Stephen Rollnick that focuses on the patient’s own reasons for making change.
A patient’s “why” for change
Prescription drug prices Competition can drive down costs BY SEN. AMY KLOBUCHAR
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ast year I met two identical twin girls from Cambridge, Minnesota, who play on their school softball team. One is a pitcher and the other is a catcher. A few years ago, one of them found out that she has diabetes. The other twin is perfectly healthy. The family now must buy insulin, but the price has tripled over the last decade, making it very difficult for them to afford this essential medication. Does it matter if the pitcher or the catcher has diabetes? No. They both deserve to be able to afford the medications they need. Prescription drug prices to page 124
When working with patients faced with making difficult behavior changes, supplying education and medication options is rarely sufficient. Often Motivational interviewing to page 144