Hvas Anne Charlotte, Thesen Janecke
Københavns Universitet, Afdeling for Almen Medicin, Central Forskningsenhed for Almen praksis i København.
Ugeskr Laeger. 2002 Nov 11;164(46):5361-5.
The aim of this article is to describe the empowerment concept in a medical perspective. The concept originated as a reaction to the oppression of groups and individuals in the USA. Later it was introduced in relation to health promotion. Empowerment implies counteracting oppression of groups and individuals, and being conscious of different positions of power. The concept can be used to describe a goal and a process, as well as a strategy. It implies both the mobilisation of the patient's own power, as well as counteracting oppressive forces. It is concluded that empowerment is particularly important for the most disempowered patients (for instance people who have been given a psychiatric label). Empowerment in the health services is a relevant strategy to achieve fundamental changes in the control and influence of powerless groups, and thereby reduce inequality in health.
本文旨在从医学角度描述赋权概念。该概念起源于对美国群体和个人所受压迫的一种反应。后来它被引入到健康促进领域。赋权意味着抵制对群体和个人的压迫，并意识到不同的权力地位。这个概念可用于描述一个目标、一个过程以及一种策略。它既意味着调动患者自身的力量，也意味着抵制压迫力量。得出的结论是，赋权对于那些最缺乏权力的患者（例如被贴上精神疾病标签的人）尤为重要。卫生服务中的赋权是实现无权群体在控制权和影响力方面发生根本性变化从而减少健康不平等的一项相关策略。
