American University of Sharjah, School of Business Administration, P.O. Box 26666, Sharjah, United Arab Emirates.
Mohammed Bin Rashid School of Government (MBRSG), Convention Tower, Level 7, P.O. Box 72229, Dubai, United Arab Emirates.
Public Health. 2019 Apr;169:114-124. doi: 10.1016/j.puhe.2019.01.017. Epub 2019 Mar 14.
The purpose of this article was twofold. We aimed to both clarify the multidimensional notion of patient empowerment (PE) and conduct a comprehensive survey of PE-related literature in the specific context of the United Arab Emirates (UAE).
The study objectives were achieved by means of a two-phased systematic review of the literature on PE and associated dimensions.
The first phase consisted in the database search for recent review articles on the construct of PE that were published in the past five years. The second phase focused on the identification of extant empirical research on PE and related concepts in UAE settings. In total, 13 review articles and 17 empirical studies were eligible and included in our analysis.
The retained PE review articles pointed to two major themes and four topics on 'conceptual clarification' and 'contextual embeddedness', where PE was tackled in relation to national health-care system, health-care governance, information technology, and therapeutic continuum. Our analysis of UAE-based PE studies unveiled three themes on 'chronic disease care' (with three topics of 'general inquiries', 'diabetes management', and 'diabetic complications'), 'self-medication with drugs', and 'non-therapeutic interventions'. By juxtaposing the identified PE themes and topics, we derived three promising opportunities for researchers, practitioners, and policymakers to consolidate, expand, and initiate relevant PE interventions in the UAE.
This review article found that PE represents an emergent and underexplored notion in the UAE health-care system. As UAE ambitions to become a sought-after medical hub in the global arena, the design and implementation of adequate PE strategies and reforms play a critical role in the development of a world-class patient-centered health care in the country.
本文有两个目的。我们旨在澄清患者赋权（PE）的多维概念，并在阿联酋的特定背景下对与 PE 相关的文献进行全面调查。
通过对过去五年发表的关于 PE 及其相关维度的文献进行两阶段系统回顾，实现了研究目的。
第一阶段是对最近关于 PE 结构的综述文章进行数据库搜索。第二阶段侧重于确定阿联酋现有关于 PE 和相关概念的实证研究。共有 13 篇综述文章和 17 项实证研究符合条件并纳入我们的分析。
保留的 PE 综述文章指出了两个主要主题和四个关于“概念澄清”和“背景嵌入”的主题，其中 PE 与国家医疗保健系统、医疗保健治理、信息技术和治疗连续性有关。我们对阿联酋基于 PE 的研究进行了分析，揭示了三个关于“慢性病护理”的主题（有三个主题：“一般查询”、“糖尿病管理”和“糖尿病并发症”）、“自我用药”和“非治疗性干预”。通过对比确定的 PE 主题和主题，我们得出了三个有前途的机会，供研究人员、从业者和政策制定者在阿联酋巩固、扩展和启动相关的 PE 干预措施。
本文认为，PE 在阿联酋医疗保健系统中是一个新兴且未得到充分探索的概念。随着阿联酋雄心勃勃地成为全球备受追捧的医疗中心，设计和实施充分的 PE 战略和改革对于该国发展世界级以患者为中心的医疗保健至关重要。
