Department of Medicine, School of Medicine, University of California, San Francisco, CA, USA.
Am J Public Health. 2011 Feb;101(2):265-70. doi: 10.2105/AJPH.2009.189829. Epub 2010 Dec 16.
In a rapidly changing world of health care information access and patients' rights, there is limited conceptual infrastructure available to understand how people approach and engage in treatment of medical conditions. The construct of health care empowerment is defined as the process and state of being engaged, informed, collaborative, committed, and tolerant of uncertainty regarding health care. I present a model in which health care empowerment is influenced by an interplay of cultural, social, and environmental factors; personal resources; and intrapersonal factors. The model offers a framework to understand patient and provider roles in facilitating health care empowerment and presents opportunities for investigation into the role of health care empowerment in multiple outcomes across populations and settings, including inquiries into the sources and consequences of health disparities.
在医疗保健信息获取和患者权利不断变化的世界中，对于人们如何处理和参与医疗条件的治疗，可用的概念性基础设施非常有限。医疗保健赋权的构建被定义为参与、知情、协作、承诺和对医疗保健不确定性的容忍的过程和状态。我提出了一个模型，其中医疗保健赋权受到文化、社会和环境因素；个人资源；以及个人因素的相互作用的影响。该模型提供了一个框架，用于理解患者和提供者在促进医疗保健赋权方面的作用，并为研究医疗保健赋权在不同人群和环境中的多种结果中的作用提供了机会，包括探究健康差异的来源和后果。
