{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:31:48Z","timestamp":1786692708790,"version":"build-2736575974"},"reference-count":37,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>The cost of care is shifting to the individual in the form of high-deductible health plans and health savings accounts. The public demands and expects innovation in health care and health delivery and is using quality and cost data to make purchasing decisions. Public expectations for convenience are demonstrated in the use of walk-in clinics, telemedicine, and other technologies. As a result of the responsibility for paying and managing one\u2019s own health, consumerism involves a curated approach to selecting health services. This Health Policy Perspectives column examines how consumerism influences health care policy, in particular occupational therapy service delivery. Issues that consumerism creates include (1) a lack of publicly shared cost and quality data about occupational therapy; (2) confusion in measurement of client-centered care, patient satisfaction, and patient experience; (3) inadequate incorporation of patient shared decision-making throughout the occupational therapy process; and (4) payment model restrictions in service delivery. Occupational therapy practitioners must help consumers learn, through patient shared decision-making, that occupational therapy is evidence based and produces desired outcomes, thereby both improving the quality and lowering the cost of health care. Occupational therapy practitioners must advocate for lower cost and convenient service options in the community through an array of technologies. Practice scholarship of the clinical doctorate in occupational therapy must focus on conducting consumer research related to patient experience; enhancing service delivery through quality improvement; and innovating practice for new sites and methods of service delivery, including the use of technology.<\/jats:p>","DOI":"10.5014\/ajot.2023.050384","type":"journal-article","created":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T11:11:24Z","timestamp":1696504284000},"page":"996-1000","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Consumerism and Its Influence on the Future of Occupational Therapy"],"prefix":"10.1177","volume":"77","author":[{"given":"Penelope A.","family":"Moyers","sequence":"first","affiliation":[{"name":"Penelope A. Moyers, EdD, OT, FAOTA, is Adjunct Professor, Department of Occupational Therapy, Nova Southeastern University, Fort Lauderdale, FL;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"key":"e_1_3_1_2_1","volume-title":"Draft 1 ACOTE\u00ae standards","author":"Accreditation Council for Occupational Therapy Education","unstructured":"Accreditation Council for Occupational Therapy Education. (n.d.). Draft 1 ACOTE\u00ae standards. https:\/\/acoteonline.org\/download\/5319\/?tmstv=1678195214"},{"key":"e_1_3_1_3_1","first-page":"7212410005","article-title":"2018 Accreditation Council for Occupational Therapy Education (ACOTE\u00ae) Standards and interpretive guide (effective July 31, 2020)","volume":"72","author":"Accreditation Council for Occupational Therapy Education","year":"2018","unstructured":"Accreditation Council for Occupational Therapy Education. 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