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The Climate Emergency and Zero-Carbon Healthcare
Published in Vincent La Placa, Julia Morgan, Social Science Perspectives on Global Public Health, 2023
Health systems can themselves facilitate patient empowerment and self-care practices. An example of this is giving patients access to their health records to increase knowledge of their own health conditions, and readily accessible details on diagnosis and treatment plans, effectively shifting control from the healthcare facility to the home. Patients can monitor their health and share relevant information with family members and providers such as pharmacists or community-based clinicians. Dijkstra et al. (2005) reported that diabetic patients in Denmark, who had access to their health records in the way of a Diabetes Passport, were found to have better long-term glucose control.
Health Information Technology
Published in Kelly H. Zou, Lobna A. Salem, Amrit Ray, Real-World Evidence in a Patient-Centric Digital Era, 2023
Joseph P. Cook, Gabriel Jipa, Claudia Zavala, Lobna A. Salem
Turning now to patients who is the center of healthcare, the role of AI in diagnostics also has various positive implications in terms of empowering patients to take charge of their own health. As stated by McKinsey (2020), currently the only way patients have of knowing if they need to see a doctor is to see one—and that needs to change. Patients are demanding answers more quickly, and there is a growing call for patient empowerment. AI can help in this regard by allowing patients to monitor and take charge of their own health through home monitoring, self-care, and community-based care. This falls in line with the changing healthcare landscape, leaning towards patient centricity, and with the changing global trends, which portend an increase in chronic conditions. For example, patients with diabetes, previously encouraged to monitor their symptoms by continuous hospital visits, can now self-monitor at home through AI-enabled blood glucose monitoring devices. This can also be leveraged in emergency room scenarios, with AI-based apps, such as Babylon or Mediktor enabling e-triage, to potentially reduce clinical workload of HCPs (McKinsey, 2020). As can be seen through these examples, AI has unprecedented potential in faster and more accurate diagnoses, which has positive implications for patients, doctors, and the healthcare system at large.
Opportunities and Challenges for Digital Health Advancement
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Deborah Trautman, Kedar Mate, Howard Catton, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 1, 2022
Gillian Strudwick, Sanaz Riahi, Nicholas R. Hardiker
The idea of empowering people with digital health tools to take better care of their health is very appealing and one that is worth efforts to continue striving to achieve. There is a need to begin with understanding what empowerment actually means and develop a more complex critical analysis of the ways in which it can be operationalized by levering digital health strategies. Indeed, currently in healthcare, there are many promising evidences that enabling patient empowerment has the potential for many positive outcomes. The challenges and the opportunities are eliminating the current discords in definition, operationalization strategies and measurement to aid in greater universal presence and success of patient empowerment in healthcare.
Toward a paradigm shift in healthcare: using the International Classification of Functioning, Disability and Health (ICF) and the capability approach (CA) jointly in theory and practice
Published in Disability and Rehabilitation, 2023
Sabina van der Veen, Natalie Evans, Martijn Huisman, Patricia Welch Saleeby, Guy Widdershoven
A review of applications of the CA in health care found four areas of care in which applications of the theory were used; physical activity and diet; patient empowerment; multidimensional poverty and assessments of health; and assessments of social care interventions [13]. Applications related to physical activity and diet both involved a focus on the built environment to strengthen the capability of being physically active, questionnaires to measure this capability, and on the use of an instrument to assess the opportunities for healthy behavior. Studies that focused on patient empowerment identified factors that facilitate making decisions regarding one’s health. Factors related to poverty were particularly influential [50]. People with chronic conditions were more likely to be multidimensionally poor (with limited income, education, and health). These studies called for the further development of the assessment of multidimensional poverty. Lastly, a number of studies described the development of instruments to capture capabilities supported by social care [13].
Patients’ Experiences of Participation in High-Security, Forensic Psychiatric Care
Published in Issues in Mental Health Nursing, 2022
Andreas Söderberg, Märta Wallinius, Christian Munthe, Mikael Rask, Ulrica Hörberg
In a well-cited publication on patient participation, Sahlsten et al. (2008) defined four attributes as characteristic of patient participation: an established relationship; a surrendering of some power or control by the nurse to the patient; shared information and knowledge between carers and patients; and active mutual engagement in intellectual and/or physical activities. However, the term ‘patient participation’ is used interchangeably with terms such as ‘patient engagement’ and ‘patient empowerment’, while all these terms differ in meaning. For example, patient empowerment is a broader concept than patient participation (Castro et al., 2016). An integrative review of patient participation in mental healthcare showed that the concept is not clearly defined and that there are several terms with similar meaning describing the patient’s active role during treatment, such as ‘collaboration’, ‘partnership’, ‘user involvement’ and ‘patient participation’, all which are linked to shared decision-making, shared ownership and a recovery-oriented approach (Jørgensen & Rendtorff, 2018). Similar observations have been made regarding notions about patient or person-centered care (El-Alti et al., 2019), and of shared decision-making (SDM) (Sandman & Munthe, 2010) in general. Patient participation is sometimes described as an overused and overly vague concept (Nilsson et al., 2019). Magnusson et al. (2020) conjecture that participation is a kind of buzzword in forensic psychiatry—it sounds good in theory but is much harder to use or embrace in clinical practice.
Patient empowerment in Flemish hospital wards: a cross-sectional study
Published in Acta Clinica Belgica, 2021
Sofie Theys, Simon Malfait, Kristof Eeckloo, Sofie Verhaeghe, Dimitri Beeckman, Ann Van Hecke
The empowerment concept must be perceived in the light of a broader empowerment paradigm and has its foundation in the social action and self-help movements in the 1960s and the 1970s [6–8]. Gradually, patient empowerment as a concept has gained considerable importance in health care. Different policy statements, such as the Alma Alta Declaration [9] form the basis for its growing importance. However, there is not yet a widely agreed-upon definition of patient empowerment because it is a complex, multi-level concept [2,3]. A first attempt to define the concept for the healthcare context was done in the 1990s by Gibson [10,11]. Gibson’s study showed that it was difficult to think of patient empowerment consistently and in operational terms [10,11]. A recent concept analysis of Castro et al. [2] defined patient empowerment as ‘a process that enables patients to exert more influence over their individual health by increasing their capacities to gain more control over issues they themselves define as important.’