Patient empowerment: reflections on the challenge of fostering the adoption of a new paradigm

被引:320
作者
Anderson, RM [1 ]
Funnell, MM [1 ]
机构
[1] Univ Michigan, Sch Med, Dept Med Educ, Michigan Diabet Res & Training Ctr, Ann Arbor, MI 48109 USA
关键词
diabetes care; collaborative care; patient empowerment; paradigms;
D O I
10.1016/j.pec.2004.05.008
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Diabetes is a self-managed illness in which the decisions most affecting the health and well being of patients are made by the patients themselves. Many of these decisions involve routine activities of daily living (e.g., nutrition, physical activity). Effective diabetes care requires patients and health care professionals to collaborate in the development of self-management plans that integrate the clinical expertise of health care professionals with the concerns, priorities and resources of the patient. Collaborative diabetes care requires a new "empowerment" paradigm that involves a fundamental redefinition of roles and relationships of health care professionals and patients. The challenges of fostering the adoption of a new paradigm differ substantially from those associated with the introduction of new technology. Those challenges are discussed in this paper. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:153 / 157
页数:5
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