From patient education to patient engagement: Implications for the field of patient education
From patient education to patient engagement: Implications for the field of patient education
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DOI：
10.1016/j.pec.2010.02.002
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发表时间：
2010-03-01
影响因子：
3.5
通讯作者：
Prager, Denis J.
中科院分区：
文献类型：
--
作者：
Gruman, Jessie;Rovner, Margaret Holmes;Prager, Denis J.
目的：卫生保健的进步要求个人有知识地、积极地参与到卫生保健中来，以实现其最大的益处。描述了这些变化对个人行为和患者教育实践的影响。方法：通过文献综述和关键信息者访谈，编制了“敬业行为框架”(EBF)。为了评估已识别的参与行为的研究和干预的重点，在2006-2007年间，使用EBF对美国与患者教育相关的专业会议的科学会议进行编码。结果：许多特定行为构成了参与。关于患者教育的专业会议只显示了对所有相关行为的适度关注。结论：人们必须对保险和临床医生做出明智的选择，协调提供者之间的沟通，并自行管理复杂的治疗。实践影响：病人和健康的个人寻找并积极参与高质量医疗保健的责任增加，这为患者教育研究人员和临床医生提供了一个机会，通过制定创新的战略来支持所有人尽可能有效地参与他们的医疗保健，从而改善健康结果。(C)2010爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: Advances in health care require that individuals participate knowledgeably and actively in their health care to realize its full benefit. Implications of these changes for the behavior of individuals and for the practice of patient education are described.Methods: An "engagement behavior framework" (EBF) was compiled from literature reviews and key informant interviews. To assess the focus of research and interventions on the identified engagement behaviors, the EBF was used to code scientific sessions in professional conferences relevant to patient education in the US in 2006-2007.Results: Many specific behaviors constitute engagement. Professional conferences on patient education show only modest attention to the full range of relevant behaviors.Conclusion: People must make informed choices about insurance and clinicians, coordinate communications among providers and manage complex treatments on their own. Not doing so risks preventable illness, suboptimal outcomes and wasted resources.Practice Implications: Increased responsibilities of individuals, sick and well, to find and actively participate in high quality health care provides an opportunity for patient education researchers and clinicians to improve health outcomes by developing innovative strategies to support all individuals to effectively participate in their care to the extent possible. (C) 2010 Elsevier Ireland Ltd. All rights reserved.