The importance of patient empowerment in health system reform

被引:60
作者
Segal, L [1 ]
机构
[1] Monash Univ, Ctr Hlth Program Evaluat, Hlth Econ Unit, W Heidelberg, Vic 3081, Australia
关键词
health system reform; patient empowerment;
D O I
10.1016/S0168-8510(98)00007-4
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Health system reform is on the agenda in Australia, across Europe and North America and elsewhere. Reform is being driven by attempts to meet ever increasing health service demands in the face of cost containment pressures. There is little agreement concerning the preferred features of health funding models. A micro-economic framework is used to define universal performance characteristics for optimal health funding arrangements. Two principle requirements emerge. These are (1) demand side reform to empower consumers and (2) supply side reform, to promote opportunities and incentives for a responsive service system and competition amongst providers. A focus on supply side issues only, without recognition of the fundamental importance of consumer empowerment will fail to promote an efficient solution to the distribution of health resources. Mechanisms to promote active consumer involvement in health care decisions are identified as a central requirement in health system reform. (C) 1998 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:31 / 44
页数:14
相关论文
共 37 条
[1]  
[Anonymous], 1986, OTT CHART HLTH PROM
[2]  
[Anonymous], EC HLTH CARE INTRO T
[3]  
*AUD COMM, 1996, STUD UK FUNDH ENGL W
[4]  
BATTERHAM R, 1997, 10 CHPE MON U HLTH E
[5]   RANDOMIZED, CONTROLLED TRIAL OF DIABETIC PATIENT EDUCATION - IMPROVED KNOWLEDGE WITHOUT IMPROVED METABOLIC STATUS [J].
BLOOMGARDEN, ZT ;
KARMALLY, W ;
METZGER, MJ ;
BROTHERS, M ;
NECHEMIAS, C ;
BOOKMAN, J ;
FAIERMAN, D ;
GINSBERGFELLNER, F ;
RAYFIELD, E ;
BROWN, WV .
DIABETES CARE, 1987, 10 (03) :263-272
[6]   Self-efficacy, pain, and physical activity among fibromyalgia subjects [J].
Buckelew, SP ;
Murray, SE ;
Hewett, JE ;
Johnson, J ;
Huyser, B .
ARTHRITIS CARE & RESEARCH, 1995, 8 (01) :43-50
[7]   THE OUTCOMES AND COSTS OF CARE FOR ACUTE LOW-BACK-PAIN AMONG PATIENTS SEEN BY PRIMARY-CARE PRACTITIONERS, CHIROPRACTORS, AND ORTHOPEDIC SURGEONS [J].
CAREY, TS ;
GARRETT, J ;
JACKMAN, A ;
MCLAUGHLIN, C ;
FRYER, J ;
SMUCKER, DR ;
CURTIS, P ;
DARTER, J ;
DEFRIESE, G ;
EVANS, A ;
HADLER, N ;
HUNTER, G ;
JOINES, J ;
KALSBEEK, W ;
KONRAD, T ;
MCNUTT, R ;
RICKETTS, T ;
TAYLOR, D .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (14) :913-917
[8]   ACCESS AND OUTCOMES OF ELDERLY PATIENTS ENROLLED IN MANAGED CARE [J].
CLEMENT, DG ;
RETCHIN, SM ;
BROWN, RS ;
STEGALL, MBH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 271 (19) :1487-1492
[9]   LONG-TERM FOLLOW-UP EVALUATION AT BLOOD-GLUCOSE AWARENESS TRAINING [J].
COX, DJ ;
GONDERFREDERICK, L ;
JULIAN, DM ;
CLARKE, W .
DIABETES CARE, 1994, 17 (01) :1-5
[10]  
Drummond M, 1995, Aust Health Rev, V18, P28