A history of patient education by health professionals in Europe and North America: From authority to shared decision making education
A history of patient education by health professionals in Europe and North America: From authority to shared decision making education
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DOI：
10.1016/j.pec.2010.01.015
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发表时间：
2010-03-01
影响因子：
3.5
通讯作者：
van den Borne, Bart
中科院分区：
文献类型：
--
作者：
Hoving, Ciska;Visser, Adriaan;van den Borne, Bart
目的：本文描述了从 20 世纪 60 年代至今患者教育的发展，并确定了改善患者教育的未来挑战。结果：患者教育从医疗保健专业人员决定患者需要了解什么发展到共享决策设计，其中医生和患者对决策过程具有同等影响力。描述了初级和二级卫生保健患者教育的发展，以及生物医学进步、人口老龄化和文化多样性对患者教育的影响。确定了未来患者教育面临的一些挑战：培训卫生专业人员和患者、患者社会环境的参与以及电子健康技术在患者教育中的应用。结论：患者教育已经发生了一些发展变化，已经传播到医疗保健的不同环境，现在终于成为患者医疗保健的重要组成部分。尽管如此，患者和卫生专业人员仍然需要获得优化患者教育的技能。适合未来干预措施以促进患者教育的良好科学实践至关重要。实践意义：过去患者教育的经验教训对于患者教育的成长和未来发展非常重要。 (C) 2010 年，爱思唯尔爱尔兰有限公司出版。
Objective: This paper describes the development of patient education from the 1960s until now and identifies future challenges to improve patient education.Results: Patient education developed from the health care professional deciding what the patient needed to know to a shared decision making design where physician and patient are equally influential on the decision making process. The development of patient education is described for primary and secondary health care, as well as the impact of biomedical advances, an ageing population and cultural diversity on patient education. Some of the challenges for future patient education are identified: training health professionals as well as patients, involvement of the patient's social environment and application of e-Health techniques to patient education.Conclusion: Patient education has made several developmental changes, has spread to different settings in health care and has now finally established itself as a valuable part of health care for patients. Nevertheless, both patients and health professionals still need to be provided with skills to optimize patient education. A good science-practice fit for future interventions to facilitate patient education is paramount.Practice implication: Lessons from the past of patient education are important for the growth and future development of patient education. (C) 2010 Published by Elsevier Ireland Ltd.