Giloth B E
Patient Educ Couns. 1990 Apr;15(2):101-11. doi: 10.1016/0738-3991(90)90054-o.
While patient education has been an integral part of health care for centuries, the management of this process is a relatively new concept for US hospitals. Beginning in the late 1960s, documentation of patient education coordinator positions, policies, committee mandates, and other management structures began to appear. National surveys and projects documented the growth of these structures and provided some evidence that their existence positively impacted the number of programs and their effectiveness. Financial pressures on hospitals including the advent of the prospective pricing system, other actions by government and business to control health care costs, and changes in technology have resulted in budget cuts, staff reductions, and reorganizations that have posed new challenges for the development of patient education management. This paper discusses these developments and their impact on management of patient education programs in hospitals.
几个世纪以来，患者教育一直是医疗保健不可或缺的一部分，但对美国医院来说，这一过程的管理却是一个相对较新的概念。从20世纪60年代末开始，有关患者教育协调员职位、政策、委员会授权及其他管理架构的文件开始出现。全国性调查和项目记录了这些架构的发展，并提供了一些证据，表明它们的存在对项目数量及其成效产生了积极影响。医院面临的财务压力，包括预期定价系统的出现、政府和企业控制医疗成本的其他举措以及技术变革，导致了预算削减、人员裁减和重组，给患者教育管理的发展带来了新挑战。本文将探讨这些发展情况及其对医院患者教育项目管理的影响。
