Center for Advancing Health, Washington, DC 20009-1231, USA.
Patient Educ Couns. 2010 Mar;78(3):350-6. doi: 10.1016/j.pec.2010.02.002. Epub 2010 Mar 3.
Advances in health care require that individuals participate knowledgeably and actively in their health care to realize its full benefit. Implications of these changes for the behavior of individuals and for the practice of patient education are described.
An "engagement behavior framework" (EBF) was compiled from literature reviews and key informant interviews. To assess the focus of research and interventions on the identified engagement behaviors, the EBF was used to code scientific sessions in professional conferences relevant to patient education in the US in 2006-2007.
Many specific behaviors constitute engagement. Professional conferences on patient education show only modest attention to the full range of relevant behaviors.
People must make informed choices about insurance and clinicians, coordinate communications among providers and manage complex treatments on their own. Not doing so risks preventable illness, suboptimal outcomes and wasted resources.
Increased responsibilities of individuals, sick and well, to find and actively participate in high quality health care provides an opportunity for patient education researchers and clinicians to improve health outcomes by developing innovative strategies to support all individuals to effectively participate in their care to the extent possible.
医疗保健的进步要求个人在了解自身健康状况的基础上积极参与其中，以充分受益。本文阐述了这些变化对个人行为和患者教育实践的影响。
通过文献回顾和关键知情人访谈编制了“参与行为框架（EBF）”。为了评估研究和干预措施对确定的参与行为的关注程度，在 2006-2007 年，使用 EBF 对与美国患者教育相关的专业会议的科学会议进行了编码。
许多具体行为构成了参与。患者教育的专业会议仅对相关行为的全部范围给予适度关注。
人们必须就保险和临床医生做出明智的选择，协调提供者之间的沟通，并自行管理复杂的治疗。如果不这样做，就有可能导致可预防的疾病、治疗效果不佳和资源浪费。
患者和健康人都需要承担更多的责任，自行寻找和积极参与高质量的医疗保健，这为患者教育研究人员和临床医生提供了一个机会，他们可以通过制定创新策略来改善健康结果，支持所有个人尽可能有效地参与他们的护理。
