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Patient Empowerment in Health Care System: Opportunities and Challenges

Year 2023, Volume: 3 Issue: 1, 74 - 81, 12.04.2023
https://doi.org/10.58252/artukluder.1209933

Abstract

The patient empowerment approach has become the focus of global health care in health care systems. In the empowerment approach, patients' greater ability to manage their healthcare improves their health processes and outcomes. Therefore, the patient empowerment approach has crucial in developing health, managing diseases, and sustainability of health systems. But translating patient empowerment into measurable changes in health care behaviours or outcomes is not easy. Knowing the opportunities and challenges in realizing this transformation is essential regarding patient empowerment, patient-centred care and sustainable health systems. This review examines the opportunities and challenges in patient empowerment and their impact on patient empowerment.

References

  • Castro EM, Van Regenmortel T, Vanhaecht K, Sermeus W, Van Hecke A. Patient empowerment, patient participation and patient-centeredness in hospital care: A concept analysis based on a literature review. Patient Education and Counseling. 2016;99(12):1923-39.
  • Gellerstedt M, Melin J, Johansson V, Angenete E. Are patients willing to take a more active role? Questionnaires to measure patients’ willingness to be empowered. Patient Education and Counseling. 2022;105(3):741-9.
  • Acuña Mora M, Sparud-Lundin C, Moons P, Bratt E-L. Definitions, instruments and correlates of patient empowerment: A descriptive review. Patient Education and Counseling. 2022;105(2):346-55.
  • Bravo P, Edwards A, Barr PJ, Scholl I, Elwyn G, McAllister M. Conceptualising patient empowerment: A mixed methods study. BMC health services research. 2015;15(1):1-14.
  • Risling T, Martinez J, Young J, Thorp-Froslie N. Evaluating patient empowerment in association with ehealth technology: Scoping review. J Med Internet Res. 2017;19(9):e329.
  • EPF. Patient Empowerment. European Patients Forum. Available from: https://www.eu-patient.eu/policy/Policy/patient-empowerment/ Date: 12.10.2022.
  • WHO. Promoting health in the SDGs. Report on the 9th Global conference for health promotion, Shanghai, China, 21–24 November 2016: all for health, health for all. World Health Organization 2017. Available from: https://apps.who.int/iris/handle/10665/259183 Date: 10.10.2022 License: CC BY-NC-SA 3.0 IGO.
  • Johansson V, Islind AS, Lindroth T, Angenete E, Gellerstedt M. Online communities as a driver for patient empowerment: Systematic review. J Med Internet Res. 2021;23(2):e19910.
  • Risling T, Martinez J, Young J, Thorp-Froslie N. Defining empowerment and supporting engagement using patient views from the citizen health information portal: Qualitative study. JMIR Med Inform. 2018;6(3):e43.
  • Funnell MM, Anderson RM. Empowerment and self-management of diabetes. Clinical Diabetes. 2004;22(3):123-7.
  • Aujoulat I, d’Hoore W, Deccache A. Patient empowerment in theory and practice: Polysemy or cacophony? Patient Education and Counseling. 2007;66(1):13-20.
  • Anderson RM, Funnell MM. Patient empowerment: Myths and misconceptions. Patient Education and Counseling. 2010;79(3):277-82.
  • Lau DH. Patient empowerment--a patient-centred approach to improve care. Hong Kong Med J. 2002;8(5):372-4.
  • Gibson CH. A concept analysis of empowerment. J Adv Nurs. 1991;16(3):354-61.
  • Holman H, Lorig K. Patient self-management: A key to effectiveness and efficiency in care of chronic disease. Public Health Reports. 2004;119(3):239-43.
  • Vainauskienė V, Vaitkienė R. Enablers of patient knowledge empowerment for self-management of chronic disease: An integrative review. Int J Environ Res Public Health. 2021;18(5):2247.
  • EPF. Background Brief: Patient Empowerment. European Patients Forum 2015 . Available from: https://www.eu-patient.eu/globalassets/campaign-patient-empowerment/epf_briefing_patientempowerment_2015.pdf Date: 06.10.2022.
  • EPF. What is Patient Empowerment? Patient Empowerment Campaign. European Patients Forum 2015. Available from: https://www.eu-patient.eu/globalassets/campaign-patient-empowerment/epf_pe_leaflet_2015.pdf Date: 25.10. 2022.
  • Barr PJ, Scholl I, Bravo P, Faber MJ, Elwyn G, McAllister M. Assessment of patient empowerment--a systematic review of measures. PLoS One. 2015;10(5):e0126553.
  • Coulter A, Oldham J. Person-centred care: What is it and how do we get there? Future Hospital Journal. 2016;3(2):114-6.
  • Coulter A, Ellins J. Effectiveness of strategies for informing, educating, and involving patients. BMJ. 2007;335(7609):24.
  • Van Der Heide I, Snoeijs S, Quattrini S, Struckmann V, Hujala A, Schellevis F, et al. Patient-centeredness of integrated care programs for people with multimorbidity. Results from the European ICARE4EU project. Health Policy (Amsterdam, Netherlands). 2018;122(1):36-43.
  • Nilsson M, From I, Lindwall L. The significance of patient participation in nursing care – a concept analysis. Scandinavian Journal of Caring Sciences. 2019;33(1):244-51.
  • Falk AC, Schandl A, Frank C. Barriers in achieving patient participation in the critical care unit. Intensive and Critical Care Nursing. 2019;51:15-9.
  • EPF. Toolkit for Patient Organisations on Patient Empowerment. European Patients Forum 2017. Available from: https://www.eu-patient.eu/globalassets/library/publications/patient-empowerment---toolkit.pdf Date: 14.10.2022.
  • Lambrinou E, Hansen TB, Beulens JWJ. Lifestyle factors, self-management and patient empowerment in diabetes care. European Journal of Preventive Cardiology. 2019;26(2_suppl):55-63.
  • Van Riel PLCM, Zuidema RM, Vogel C, Rongen-van Dartel SAA. Patient self-management and tracking: A european experience. Rheumatic Disease Clinics of North America. 2019;45(2):187-95.
  • Conard S. Best practices in digital health literacy. Int J Cardiol. 2019;292:277-9.
  • EPF. The Patients’ Charter on Patient Empowerment. European Patients Forum 2016. Available from: https://www.eu-patient.eu/globalassets/campaign-patient-empowerment/charter/epf_charter_pe_2016.pdf Date: 11.10.2022.
  • Magnani JW, Mujahid MS, Aronow HD, Cené CW, Dickson VV, Havranek E, et al. Health literacy and cardiovascular disease: Fundamental relevance to primary and secondary prevention: A scientific statement from the American heart association. Circulation. 2018;138(2):e48-e74.
  • Mattei P. Digital governance in tax-funded European healthcare systems: From the back office to patient empowerment. Isr J Health Policy Res. 2020;9(1):3.
  • Demirci Ş. Sağlığın dijitalleşmesi-digitalization of health. Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2019;10(26):710-21.
  • Uysal B, Ulusinan E. Güncel dijital sağlık uygulamalarının incelenmesi. Selçuk Sağlık Dergisi. 2020;1(1):46-60.
  • Venkatesan M, Mohan H, Ryan JR, Schürch CM, Nolan GP, Frakes DH, et al. Virtual and augmented reality for biomedical applications. Cell Reports Medicine. 2021;2(7):100348.
  • Moro C, Štromberga Z, Raikos A, Stirling A. The effectiveness of virtual and augmented reality in health sciences and medical anatomy. Anatomical Sciences Education. 2017;10(6):549-59.
  • Dilbaz B, Kaplanoğlu M, Dilek K. Teletıp ve telesağlık: Geçmiş, bugün ve gelecek. Eurasian Journal of Health Technology Assessment. 2020;4(1):40-56.
  • Yuran AF, Asaroğlu H, Çakmak S. Salgın döneminde 3D yazıcılar ile yüz koruyucu üretimi üzerine değerlendirmeler. International Journal of 3D Printing Technologies and Digital Industry. 2020;4(3):204-15.
  • Atalay HA, Değirmentepe RB, Bozkurt M, Can O, Canat HL, Altunrende F. 3D Teknolojinin tıpta ve ürolojide kulanım alanları. Endoüroloji Bülteni. 2016;9:65-71.
  • Akay EÇ. Ekonometride yeni bir ufuk: Büyük veri ve makine öğrenmesi. Sosyal Bilimler Araştırma Dergisi. 2018;7(2):41-53.
  • Coşar M, Deniz E. Makine öğrenimi algoritmaları kullanarak kalp hastalıklarının tespit edilmesi. Avrupa Bilim ve Teknoloji Dergisi. 2021(28):1112-6.
  • Fumagalli LP, Radaelli G, Lettieri E, Bertele’ P, Masella C. Patient empowerment and its neighbours: Clarifying the boundaries and their mutual relationships. Health Policy. 2015;119(3):384-94.
  • Pekonen A, Eloranta S, Stolt M, Virolainen P, Leino-Kilpi H. Measuring patient empowerment – A systematic review. Patient Education and Counseling. 2020;103(4):777-87.
  • Chiauzzi E, DasMahapatra P, Cochin E, Bunce M, Khoury R, Dave P. Factors in patient empowerment: A survey of an online patient research network. The Patient. 2016;9(6):511-23.
  • Tobiano G, Marshall A, Bucknall T, Chaboyer W. Patient participation in nursing care on medical wards: An integrative review. International journal of nursing studies. 2015;52(6):1107-20.
  • Malfait S, Eeckloo K, Van Hecke A. The influence of nurses' demographics on patient participation in hospitals: A cross-sectional study. Worldviews on Evidence-Based Nursing. 2017;14(6):455-62.
  • Náfrádi L, Nakamoto K, Schulz PJ. Is patient empowerment the key to promote adherence? A systematic review of the relationship between self-efficacy, health locus of control and medication adherence. PLoS One. 2017;12(10):e0186458.
  • Prigge J-K, Dietz B, Homburg C, Hoyer WD, Burton JL. Patient empowerment: A cross-disease exploration of antecedents and consequences. International Journal of Research in Marketing. 2015;32(4):375-86.

Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar ve Zorluklar

Year 2023, Volume: 3 Issue: 1, 74 - 81, 12.04.2023
https://doi.org/10.58252/artukluder.1209933

Abstract

Hasta güçlendirme yaklaşımı, sağlık bakım sistemlerinde küresel sağlığın ilgi odağı haline gelmiştir. Güçlendirme yaklaşımında hastaların kendi sağlık bakımlarını yönetme konusunda daha fazla yeteneğe sahip olması, hastaların sağlık süreçlerini ve sağlık sonuçlarını iyileştirmektedir. Bu nedenle sağlığın geliştirilmesinde, hastalıkların yönetiminde ve sağlık sistemlerinin sürdürülebilirliğinde hasta güçlendirme yaklaşımı anahtar bir role sahiptir. Ancak sağlık bakım davranışlarında veya sonuçlarında hasta güçlendirmeyi ölçülebilir değişikliklere dönüştürmek kolay değildir. Bu dönüşümün gerçekleştirilmesinde sahip olunan fırsat ve zorlukların bilinmesi hasta güçlendirme, hasta merkezli bakım ve sürdürülebilir sağlık sistemleri açısından önemlidir. Bu derlemede, hasta güçlendirmede sahip olunan fırsat ve zorlukların neler olduğu ve bunların hasta güçlendirme üzerindeki etkileri incelenmektedir.

References

  • Castro EM, Van Regenmortel T, Vanhaecht K, Sermeus W, Van Hecke A. Patient empowerment, patient participation and patient-centeredness in hospital care: A concept analysis based on a literature review. Patient Education and Counseling. 2016;99(12):1923-39.
  • Gellerstedt M, Melin J, Johansson V, Angenete E. Are patients willing to take a more active role? Questionnaires to measure patients’ willingness to be empowered. Patient Education and Counseling. 2022;105(3):741-9.
  • Acuña Mora M, Sparud-Lundin C, Moons P, Bratt E-L. Definitions, instruments and correlates of patient empowerment: A descriptive review. Patient Education and Counseling. 2022;105(2):346-55.
  • Bravo P, Edwards A, Barr PJ, Scholl I, Elwyn G, McAllister M. Conceptualising patient empowerment: A mixed methods study. BMC health services research. 2015;15(1):1-14.
  • Risling T, Martinez J, Young J, Thorp-Froslie N. Evaluating patient empowerment in association with ehealth technology: Scoping review. J Med Internet Res. 2017;19(9):e329.
  • EPF. Patient Empowerment. European Patients Forum. Available from: https://www.eu-patient.eu/policy/Policy/patient-empowerment/ Date: 12.10.2022.
  • WHO. Promoting health in the SDGs. Report on the 9th Global conference for health promotion, Shanghai, China, 21–24 November 2016: all for health, health for all. World Health Organization 2017. Available from: https://apps.who.int/iris/handle/10665/259183 Date: 10.10.2022 License: CC BY-NC-SA 3.0 IGO.
  • Johansson V, Islind AS, Lindroth T, Angenete E, Gellerstedt M. Online communities as a driver for patient empowerment: Systematic review. J Med Internet Res. 2021;23(2):e19910.
  • Risling T, Martinez J, Young J, Thorp-Froslie N. Defining empowerment and supporting engagement using patient views from the citizen health information portal: Qualitative study. JMIR Med Inform. 2018;6(3):e43.
  • Funnell MM, Anderson RM. Empowerment and self-management of diabetes. Clinical Diabetes. 2004;22(3):123-7.
  • Aujoulat I, d’Hoore W, Deccache A. Patient empowerment in theory and practice: Polysemy or cacophony? Patient Education and Counseling. 2007;66(1):13-20.
  • Anderson RM, Funnell MM. Patient empowerment: Myths and misconceptions. Patient Education and Counseling. 2010;79(3):277-82.
  • Lau DH. Patient empowerment--a patient-centred approach to improve care. Hong Kong Med J. 2002;8(5):372-4.
  • Gibson CH. A concept analysis of empowerment. J Adv Nurs. 1991;16(3):354-61.
  • Holman H, Lorig K. Patient self-management: A key to effectiveness and efficiency in care of chronic disease. Public Health Reports. 2004;119(3):239-43.
  • Vainauskienė V, Vaitkienė R. Enablers of patient knowledge empowerment for self-management of chronic disease: An integrative review. Int J Environ Res Public Health. 2021;18(5):2247.
  • EPF. Background Brief: Patient Empowerment. European Patients Forum 2015 . Available from: https://www.eu-patient.eu/globalassets/campaign-patient-empowerment/epf_briefing_patientempowerment_2015.pdf Date: 06.10.2022.
  • EPF. What is Patient Empowerment? Patient Empowerment Campaign. European Patients Forum 2015. Available from: https://www.eu-patient.eu/globalassets/campaign-patient-empowerment/epf_pe_leaflet_2015.pdf Date: 25.10. 2022.
  • Barr PJ, Scholl I, Bravo P, Faber MJ, Elwyn G, McAllister M. Assessment of patient empowerment--a systematic review of measures. PLoS One. 2015;10(5):e0126553.
  • Coulter A, Oldham J. Person-centred care: What is it and how do we get there? Future Hospital Journal. 2016;3(2):114-6.
  • Coulter A, Ellins J. Effectiveness of strategies for informing, educating, and involving patients. BMJ. 2007;335(7609):24.
  • Van Der Heide I, Snoeijs S, Quattrini S, Struckmann V, Hujala A, Schellevis F, et al. Patient-centeredness of integrated care programs for people with multimorbidity. Results from the European ICARE4EU project. Health Policy (Amsterdam, Netherlands). 2018;122(1):36-43.
  • Nilsson M, From I, Lindwall L. The significance of patient participation in nursing care – a concept analysis. Scandinavian Journal of Caring Sciences. 2019;33(1):244-51.
  • Falk AC, Schandl A, Frank C. Barriers in achieving patient participation in the critical care unit. Intensive and Critical Care Nursing. 2019;51:15-9.
  • EPF. Toolkit for Patient Organisations on Patient Empowerment. European Patients Forum 2017. Available from: https://www.eu-patient.eu/globalassets/library/publications/patient-empowerment---toolkit.pdf Date: 14.10.2022.
  • Lambrinou E, Hansen TB, Beulens JWJ. Lifestyle factors, self-management and patient empowerment in diabetes care. European Journal of Preventive Cardiology. 2019;26(2_suppl):55-63.
  • Van Riel PLCM, Zuidema RM, Vogel C, Rongen-van Dartel SAA. Patient self-management and tracking: A european experience. Rheumatic Disease Clinics of North America. 2019;45(2):187-95.
  • Conard S. Best practices in digital health literacy. Int J Cardiol. 2019;292:277-9.
  • EPF. The Patients’ Charter on Patient Empowerment. European Patients Forum 2016. Available from: https://www.eu-patient.eu/globalassets/campaign-patient-empowerment/charter/epf_charter_pe_2016.pdf Date: 11.10.2022.
  • Magnani JW, Mujahid MS, Aronow HD, Cené CW, Dickson VV, Havranek E, et al. Health literacy and cardiovascular disease: Fundamental relevance to primary and secondary prevention: A scientific statement from the American heart association. Circulation. 2018;138(2):e48-e74.
  • Mattei P. Digital governance in tax-funded European healthcare systems: From the back office to patient empowerment. Isr J Health Policy Res. 2020;9(1):3.
  • Demirci Ş. Sağlığın dijitalleşmesi-digitalization of health. Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2019;10(26):710-21.
  • Uysal B, Ulusinan E. Güncel dijital sağlık uygulamalarının incelenmesi. Selçuk Sağlık Dergisi. 2020;1(1):46-60.
  • Venkatesan M, Mohan H, Ryan JR, Schürch CM, Nolan GP, Frakes DH, et al. Virtual and augmented reality for biomedical applications. Cell Reports Medicine. 2021;2(7):100348.
  • Moro C, Štromberga Z, Raikos A, Stirling A. The effectiveness of virtual and augmented reality in health sciences and medical anatomy. Anatomical Sciences Education. 2017;10(6):549-59.
  • Dilbaz B, Kaplanoğlu M, Dilek K. Teletıp ve telesağlık: Geçmiş, bugün ve gelecek. Eurasian Journal of Health Technology Assessment. 2020;4(1):40-56.
  • Yuran AF, Asaroğlu H, Çakmak S. Salgın döneminde 3D yazıcılar ile yüz koruyucu üretimi üzerine değerlendirmeler. International Journal of 3D Printing Technologies and Digital Industry. 2020;4(3):204-15.
  • Atalay HA, Değirmentepe RB, Bozkurt M, Can O, Canat HL, Altunrende F. 3D Teknolojinin tıpta ve ürolojide kulanım alanları. Endoüroloji Bülteni. 2016;9:65-71.
  • Akay EÇ. Ekonometride yeni bir ufuk: Büyük veri ve makine öğrenmesi. Sosyal Bilimler Araştırma Dergisi. 2018;7(2):41-53.
  • Coşar M, Deniz E. Makine öğrenimi algoritmaları kullanarak kalp hastalıklarının tespit edilmesi. Avrupa Bilim ve Teknoloji Dergisi. 2021(28):1112-6.
  • Fumagalli LP, Radaelli G, Lettieri E, Bertele’ P, Masella C. Patient empowerment and its neighbours: Clarifying the boundaries and their mutual relationships. Health Policy. 2015;119(3):384-94.
  • Pekonen A, Eloranta S, Stolt M, Virolainen P, Leino-Kilpi H. Measuring patient empowerment – A systematic review. Patient Education and Counseling. 2020;103(4):777-87.
  • Chiauzzi E, DasMahapatra P, Cochin E, Bunce M, Khoury R, Dave P. Factors in patient empowerment: A survey of an online patient research network. The Patient. 2016;9(6):511-23.
  • Tobiano G, Marshall A, Bucknall T, Chaboyer W. Patient participation in nursing care on medical wards: An integrative review. International journal of nursing studies. 2015;52(6):1107-20.
  • Malfait S, Eeckloo K, Van Hecke A. The influence of nurses' demographics on patient participation in hospitals: A cross-sectional study. Worldviews on Evidence-Based Nursing. 2017;14(6):455-62.
  • Náfrádi L, Nakamoto K, Schulz PJ. Is patient empowerment the key to promote adherence? A systematic review of the relationship between self-efficacy, health locus of control and medication adherence. PLoS One. 2017;12(10):e0186458.
  • Prigge J-K, Dietz B, Homburg C, Hoyer WD, Burton JL. Patient empowerment: A cross-disease exploration of antecedents and consequences. International Journal of Research in Marketing. 2015;32(4):375-86.
There are 47 citations in total.

Details

Primary Language Turkish
Subjects Nursing
Journal Section Reviews
Authors

Züleyha Gürdap 0000-0002-2231-8218

Zeliha Cengiz 0000-0002-3819-1717

Publication Date April 12, 2023
Submission Date November 25, 2022
Published in Issue Year 2023 Volume: 3 Issue: 1

Cite

APA Gürdap, Z., & Cengiz, Z. (2023). Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar ve Zorluklar. Artuklu International Journal of Health Sciences, 3(1), 74-81. https://doi.org/10.58252/artukluder.1209933
AMA Gürdap Z, Cengiz Z. Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar ve Zorluklar. Artuklu International Journal of Health Sciences. April 2023;3(1):74-81. doi:10.58252/artukluder.1209933
Chicago Gürdap, Züleyha, and Zeliha Cengiz. “Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar Ve Zorluklar”. Artuklu International Journal of Health Sciences 3, no. 1 (April 2023): 74-81. https://doi.org/10.58252/artukluder.1209933.
EndNote Gürdap Z, Cengiz Z (April 1, 2023) Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar ve Zorluklar. Artuklu International Journal of Health Sciences 3 1 74–81.
IEEE Z. Gürdap and Z. Cengiz, “Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar ve Zorluklar”, Artuklu International Journal of Health Sciences, vol. 3, no. 1, pp. 74–81, 2023, doi: 10.58252/artukluder.1209933.
ISNAD Gürdap, Züleyha - Cengiz, Zeliha. “Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar Ve Zorluklar”. Artuklu International Journal of Health Sciences 3/1 (April 2023), 74-81. https://doi.org/10.58252/artukluder.1209933.
JAMA Gürdap Z, Cengiz Z. Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar ve Zorluklar. Artuklu International Journal of Health Sciences. 2023;3:74–81.
MLA Gürdap, Züleyha and Zeliha Cengiz. “Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar Ve Zorluklar”. Artuklu International Journal of Health Sciences, vol. 3, no. 1, 2023, pp. 74-81, doi:10.58252/artukluder.1209933.
Vancouver Gürdap Z, Cengiz Z. Sağlık Bakım Sisteminde Hastayı Güçlendirme: Fırsatlar ve Zorluklar. Artuklu International Journal of Health Sciences. 2023;3(1):74-81.

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