Fahrenfort M
Patient Educ Couns. 1990 Apr;15(2):139-50. doi: 10.1016/0738-3991(90)90057-r.
In this article a description is given of the development of the function of patient education coordinator in the Netherlands. In general, these developments have been successful. The differences in emphasis between the work of Dutch coordinators and those in the United States are discussed, set against the background of the Dutch health care system and its prevailing attitudes. Besides sketching the common elements which have proven to be successful ways of inducing organizational change, a description is given of a particularly successful project involving feedback from patients to medical specialists. This project succeeded in combining aspects of organizational change and the education of members of the medical staff in communication with patients; it might be useful for emulation by others. The article concludes by sketching changes in general political and cultural ideology and the way these changes affect the developments in patient education.
本文描述了荷兰患者教育协调员职能的发展情况。总体而言，这些发展是成功的。结合荷兰医疗保健系统及其普遍态度的背景，讨论了荷兰协调员与美国协调员工作重点的差异。除了概述已被证明是引发组织变革的成功方法的共同要素外，还描述了一个特别成功的项目，该项目涉及患者向医学专家的反馈。这个项目成功地将组织变革的各个方面与医务人员在与患者沟通方面的教育结合起来；它可能值得其他机构效仿。文章最后概述了一般政治和文化意识形态的变化以及这些变化对患者教育发展的影响。
