Associazione Scientifica Interdisciplinare e di Medicina di Famiglia e di Comunità -ASSIMEFAC, Italy.
Eur J Gen Pract. 2013 Jun;19(2):128-31. doi: 10.3109/13814788.2012.756866. Epub 2013 Jan 22.
Growing evidence supports the inclusion of patient empowerment as a key ingredient of care for patients with chronic conditions. In recent years, several studies based on patient empowerment, have been carried out in different European countries in the context of general practice and primary care to improve management of chronic diseases. These studies have shown good results of the care model, increasing patient and health professionals' satisfaction, adherence to guidelines and to treatment, and improving clinical outcomes. In 2011, the Wonca European Council included as the twelfth characteristic of the European definitions of general practice/family medicine: 'promote patient empowerment'. The aim of this paper is to clarify the meaning of 'patient empowerment' and to explain why family medicine should be considered the most suitable setting to promote it. The inclusion of patient empowerment as one of the essential characteristics of general practice fills a conceptual gap and clearly suggests to the European health care systems a tested model to face chronic diseases: involving and empowering patients in managing their own conditions to improve health and well-being.
越来越多的证据支持将患者赋权纳入慢性病患者护理的关键组成部分。近年来,在全科医学和初级保健的背景下,一些基于患者赋权的研究在不同的欧洲国家进行,以改善慢性病的管理。这些研究表明,该护理模式取得了良好的效果,提高了患者和卫生专业人员的满意度,提高了对指南和治疗的依从性,并改善了临床结果。2011 年,Wonca 欧洲理事会将“促进患者赋权”作为全科医学/家庭医学的欧洲定义的第十二个特征。本文旨在阐明“患者赋权”的含义,并解释为什么家庭医学应被视为促进患者赋权的最合适环境。将患者赋权纳入全科医学的基本特征之一,填补了概念上的空白,并明确向欧洲卫生保健系统推荐了一种经过验证的模式来应对慢性病:让患者参与并赋权管理自己的病情,以改善健康和幸福感。