Green L W, Werlin S H, Schauffler H H, Avery C H
Health Educ Monogr. 1977 Summer;5(2):161-89. doi: 10.1177/109019817700500206.
Emergence of consumer health self-care is a reflection of the increased commitment of health professionals to patient education, growing consumer awareness that they are capable of sophisticated self-help, and a variety of social, economic and technological currents. These currents are reviewed and a survey of existing medical self-care programs is summarized. The attempts and potentials to evaluate these programs are critically examined. A number of important research and demonstration issues are raised including the determination of behavioral outcomes, technical limits, and manpower implications. A federal program of replicative studies on such issues would provide substantive knowledge in the self-care field, generalizable to the larger field of health education, but the hazards of undermining the voluntaristic and non-establishment character of the programs must be considered in designing evaluative studies.
消费者健康自我护理的出现反映了健康专业人员对患者教育的投入增加、消费者日益意识到自己有能力进行复杂的自助以及各种社会、经济和技术潮流。本文回顾了这些潮流，并总结了对现有医疗自我护理项目的调查。对评估这些项目的尝试和潜力进行了批判性审视。提出了一些重要的研究和示范问题，包括行为结果的确定、技术限制和人力影响。针对这些问题开展的联邦复制研究项目将为自我护理领域提供实质性知识，并可推广到更广泛的健康教育领域，但在设计评估研究时必须考虑到破坏这些项目自愿性和非官方性质的风险。
