Engaging Patients in Decision-Making and Behavior Change to Promote Prevention
Engaging Patients in Decision-Making and Behavior Change to Promote Prevention
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DOI：
10.3233/978-1-61499-790-0-284
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发表时间：
2017-01-01
期刊：
影响因子：
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通讯作者：
Longo, Daniel R.
中科院分区：
文献类型：
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作者：
Krist, Alex H.;Tong, Sebastian T.;Longo, Daniel R.
有效地让患者参与到他们的护理中来，对于改善健康结果、提高护理体验的满意度、降低成本，甚至有益于临床医生的体验都是至关重要的。本章将直接讨论患者参与度的主题，并回顾健康素养和患者参与度之间的关系。虽然有很多方法来定义患者和家人的参与，但本章将把参与视为“患者、家属、他们的代表和卫生专业人员在整个卫生保健系统的各个层面上积极合作--直接护理、组织设计和治理以及政策制定--以改善卫生保健[1]”。我们将特别关注三种情景(1)决策、(2)健康行为变化和(3)慢性病管理的患者参与度和健康素养需求；我们将包括参与度的理论基础、更好地支持患者参与度所需的系统、健康的社会决定因素如何影响患者参与度，以及展示更好地让患者参与他们的健康和福祉的方法的实践例子。最后，我们将描述患者参与的未来，它超越了决策和自我护理的传统领域，描述了患者参与如何影响医疗保健提供系统的设计；地方、州和国家的医疗政策；以及与患者的需求和体验相关的未来研究。
Effectively engaging patients in their care is essential to improve health outcomes, improve satisfaction with the care experience, reduce costs, and even benefit the clinician experience. This chapter will address the topic of patient engagement directly and review the relationships between health literacy and patient engagement. While there are many ways to define patient and family engagement, this chapter will consider engagement as "patients, families, their representatives, and health professionals working in active partnership at various levels across the health care system - direct care, organizational design and governance, and policy making - to improve health and health care [1]." We will specifically focus on the patient engagement and health literacy needs for three scenarios (1) decision-making, (2) health behavior change, and (3) chronic disease management; we will include the theoretical underpinnings of engagement, the systems required to better support patient engagement, how social determinants of health influence patient engagement, and practical examples to demonstrate approaches to better engage patients in their health and wellbeing. We will close by describing the future of patient engagement, which extends beyond the traditional domains of decision-making and self-care to describe how patient engagement can influence the design of the healthcare delivery system; local, state, and national health policies; and future research relevant to the needs and experiences of patients.