Maastricht University, Department of Health Promotion, Maastricht, The Netherlands.
Patient Educ Couns. 2010 Mar;78(3):275-81. doi: 10.1016/j.pec.2010.01.015. Epub 2010 Mar 1.
This paper describes the development of patient education from the 1960s until now and identifies future challenges to improve patient education.
Patient education developed from the health care professional deciding what the patient needed to know to a shared decision making design where physician and patient are equally influential on the decision making process. The development of patient education is described for primary and secondary health care, as well as the impact of biomedical advances, an ageing population and cultural diversity on patient education. Some of the challenges for future patient education are identified: training health professionals as well as patients, involvement of the patient's social environment and application of e-Health techniques to patient education.
Patient education has made several developmental changes, has spread to different settings in health care and has now finally established itself as a valuable part of health care for patients. Nevertheless, both patients and health professionals still need to be provided with skills to optimize patient education. A good science-practice fit for future interventions to facilitate patient education is paramount.
Lessons from the past of patient education are important for the growth and future development of patient education.
本文描述了从 20 世纪 60 年代至今的患者教育发展，并确定了未来改善患者教育的挑战。
患者教育经历了从医疗保健专业人员决定患者需要了解什么到共同决策设计的发展，在这种设计中，医生和患者对决策过程具有同等影响力。描述了初级和二级保健中的患者教育发展，以及生物医学进步、人口老龄化和文化多样性对患者教育的影响。确定了未来患者教育的一些挑战：培训卫生专业人员和患者，让患者的社会环境参与进来，并将电子健康技术应用于患者教育。
患者教育已经经历了多次发展变化，已经扩展到医疗保健的不同领域，现在终于成为患者医疗保健的有价值的一部分。然而，患者和卫生专业人员仍然需要掌握技能来优化患者教育。为促进患者教育而进行的未来干预措施的良好科学实践契合至关重要。
过去患者教育的经验教训对于患者教育的发展和未来发展非常重要。
