Umar Aisha, Mundy Darren
Digital Media, University of Hull, United Kingdom.
Stud Health Technol Inform. 2015;209:175-81.
The empowerment of citizens in relation to personal healthcare management includes consideration of a multi-faceted collection of elements. Simplistic forms of understanding which link empowerment to access provide limited acknowledgement of the requirement to facilitate a greater sense of health ownership in patients and collaborative working practices in practitioners. More complex attitudes to the delivery of empowered patients encompassing knowledge development, technological awareness and partnership approaches to healthcare delivery are steps in the right direction, but strain to fit currently emerging ideas around patient centered care. This paper posits that existing frameworks aimed at empowering patients for a patient centered ehealth system are insufficiently presented. The frameworks, which are mostly premised on an inequitable focus, fail to factor in the invaluableness of holism and technological innovation. Through a review of existing frameworks and an articulation of patient demands, weaknesses in current structures to support empowerment are explored, and key constituents of a framework for patient empowerment are determined. Consequently, the paper articulates a model focused around delivering an empowered patient in the 21(st) century healthcare system.
公民在个人医疗保健管理方面的赋权包括对多方面要素的考量。将赋权简单地理解为获取医疗服务，这种片面的认识对于促进患者更强的健康自主意识以及从业者的协作工作方式的需求认识有限。对于实现患者赋权的更复杂态度，包括知识发展、技术意识以及医疗服务提供中的伙伴关系方法，虽朝着正确方向迈进了一步，但难以契合当前围绕以患者为中心的医疗护理所涌现出的理念。本文认为，旨在为以患者为中心的电子健康系统实现患者赋权的现有框架阐述不足。这些框架大多基于不公平的关注点，未能考虑到整体性和技术创新的重要性。通过回顾现有框架并阐明患者需求，探讨了当前支持赋权结构的弱点，并确定了患者赋权框架的关键要素。因此，本文阐述了一个围绕在21世纪医疗保健系统中实现患者赋权的模型。
