From patient education to patient engagement: Implications for the field of patient education

被引：218

作者：

Gruman, Jessie ^{[1
]}

Rovner, Margaret Holmes ^{[2
]}

French, Molly E. ^{[3
]}

Jeffress, Dorothy ^{[1
]}

Sofaer, Shoshanna ^{[4
]}

Shaller, Dale ^{[5
]}

Prager, Denis J. ^{[6
]}

机构：

[1] Ctr Advancing Hlth, Washington, DC 20009 USA

[2] Michigan State Univ, E Lansing, MI 48824 USA

[3] Potomac Hlth Consulting, Arlington, VA USA

[4] CUNY, Baruch Coll, New York, NY 10021 USA

[5] Shaller Consulting, Stillwater, MN USA

[6] Strateg Consulting Serv, Clyde Pk, MT USA

来源：

PATIENT EDUCATION AND COUNSELING | 2010年 / 78卷 / 03期

关键词：

Patient engagement; Patient participation; Patient activation; Self-management; Consumer roles in health care; PRIMARY-CARE; HEALTH; TRENDS; MANAGEMENT; ACTIVATION; DEPRESSION; ADHERENCE;

D O I：

10.1016/j.pec.2010.02.002

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：350 / 356

页数：7

共 44 条

[1] Current Trends in Heart Failure Readmission Rates: Analysis of Medicare Data
Aranda, Juan M., Jr.
Johnson, James W.
Conti, Jamie B.
[J]. CLINICAL CARDIOLOGY, 2009, 32 (01) : 47 - 52
[2] Trends in postdischarge mortality and readmissions - Has length of stay declined too far?
Baker, DW
Einstadter, D
Husak, SS
Cebul, RD
[J]. ARCHIVES OF INTERNAL MEDICINE, 2004, 164 (05) : 538 - 544
[3] Care Transitions and Home Health Care
Boling, Peter A.
[J]. CLINICS IN GERIATRIC MEDICINE, 2009, 25 (01) : 135 - +
[4] Value-based insurance design and the next generation of consumer-driven health care
Brennan, Troyen
Reisman, Lonny
[J]. HEALTH AFFAIRS, 2007, 26 (02) : W204 - W207
[5] Carney PA, 2009, FAM MED, V41, P632
[6] Emerging trends and future directions in patient communication skills training
Cegala, Donald J.
[J]. HEALTH COMMUNICATION, 2006, 20 (02) : 123 - 129
[7] CHERRY DK, 2006, 3 NAT HLTH STAT
[8] CLAXTON G, 2007, HEALTH AFFAIR, V6, P492
[9] Evidence On The Chronic Care Model In The New Millennium
Coleman, Katie
Austin, Brian T.
Brach, Cindy
Wagner, Edward H.
[J]. HEALTH AFFAIRS, 2009, 28 (01) : 75 - 85
[10] *COMM PARTN ACC NE, 2008, SURV ACC ENR WORK RE

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