The relation between patient-centeredness and patient empowerment: A discussion on concepts

The relation between patient-centeredness and patient empowerment: A discussion on concepts
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DOI:
10.1016/j.pec.2009.08.008
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发表时间:
2010-05-01
影响因子:
3.5
通讯作者:
Roing, Marta
Roing, Marta
中科院分区:
医学2区
文献类型:
--
作者:
Holmstrom, Inger;Roing, Marta

文献摘要

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目的:以患者为中心和患者赋权的概念为患者提供了增加自主权和参与护理和治疗的机会。然而,参与医疗保健和研究的专业团体似乎以不同的方式理解这些概念。为了优化理解,需要创建一种共同语言。探讨和比较以患者为中心和患者赋权的概念,并从患者与其医疗保健提供者之间的接触角度阐明两者之间可能的关系。方法:概念分析方法,在文献综述的基础上对概念进行比较。结果:以患者为中心可以成为患者和护理人员之间接触的目标。作为一个过程,它在患者赋权的过程中具有巨大的价值。患者赋权似乎比以患者为中心更广泛,并且可能对护理人员和医疗保健组织提出更高的要求。结论:以患者为中心和患者赋权是互补的概念,并不相互对立。患者赋权可以通过以患者为中心来实现,但患者也可以赋予自己权力。实践意义:澄清以患者为中心和患者赋权可以促进医疗保健人员使用它们,提高医疗保健质量,并有助于未来的研究。 (C) 2009 Elsevier Ireland Ltd. 保留所有权利。
Objective: The concepts of patient-centeredness and patient empowerment offer opportunities for patients to increase their autonomy and involvement in their care and treatment. However, these concepts appear to be understood in different ways by professional groups involved in healthcare and research. To optimize understanding there is a need to create a common language. To explore and compare the concepts of patient-centeredness and patient empowerment, and clarify a possible relationship between the two from the perspective of the encounter between patients and their healthcare providers.Methods: Concept analysis approach in which the concepts are compared based on literature review.Results: Patient-centeredness can be the goal of an encounter between patient and caregiver. As a process, it is of great value in the process of patient empowerment. Patient empowerment appears to be broader than patient-centeredness, and may place greater demands on caregivers and the organisation of healthcare.Conclusion: Patient-centeredness and patient empowerment are complementary concepts which do not oppose one-another. Patient empowerment can be achieved by patient-centeredness, but patients can also empower themselves.Practice implications: Clarification of patient-centeredness and patient empowerment can facilitate their use by those involved in healthcare, improve the quality of healthcare, and aid future research. (C) 2009 Elsevier Ireland Ltd. All rights reserved.