Radiopraxis 2013; 6(04): 223-230
DOI: 10.1055/s-0033-1358888
CRTE – Continuing Radiological Technologist Education
© Georg Thieme Verlag KG Stuttgart · New York

Patienten-Empowerment

Wie viel können Patienten zu einer verbesserten Compliance des Personals beitragen?Patient Empowerment
C. Reichardt
,
P. Gastmeier
Further Information

Publication History

Publication Date:
09 December 2013 (online)

Patienten-Empowerment hat das Ziel, die Stellung des Patienten durch Information, Mitwirkung und Mitentscheidung zu verbessern. Einer Implementierung in der Praxis stehen jedoch vermutlich auf beiden Seiten nach wie vor hohe Barrieren entgegen.

Abstract

Patient Empowerment means the providing of information regarding therapeutic options so that a patient can actively participate in the decision on diagnostic and therapeutic procedures. Presumably the challenge is to put this concept into practice.

 
  • Literatur

  • 1 World Health Organization – WHO. World Alliance for Patient Safety. Global Patient Safety Challenge 2005–2006: Clean Care is Safer Care. Geneva,Switzerland: World Health Organisation; 2005: 1-25 [http://www.who.int/patientsafety/events/05/GPSC_Launch _ENGLISH_FINAL.pdf]
  • 2 Longtin Y, Sax H, Leape LL et al. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc 2010; 85 : 53-62
  • 3 World Health Organization – WHO. World Alliance for Patient Safety. Global Patient Safety Challenge 2005–2006: Clean Care is Safer Care. Guide to implementation of the WHO multimodal hand hygiene improvement strategy (revised Aug 2009). Geneva, Switzerland: 2009 [http://whqlibdoc.who.int/hq/2009/WHO_IER_PSP_2009.02_eng.pdf]
  • 4 McGuckin M, Storr J, Longtin Y et al. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. Am J Med Qual 2011; 26 : 10-17
  • 5 Guadagnoli E, Ward P. Patient participation in decision-making. Soc SciMed 1998; 47: 329-339
  • 6 Little P, Everitt H, Williamson I et al. Preferences of patients for patient centred approach to consultation in primary care: observational study. BMJ 2001; 322: 468-472
  • 7 Coulter A, Ellins J. Patient-Focused Interventions: A Review of the Evidence. London, England: The Health Foundation and Picker Institute Europe; 2006: 7-20
  • 8 Katz MG, Jacobson TA, Veledar E et al. Patient literacy and question-asking behavior during the medical encounter: a mixed-methods analysis. J Gen Intern Med 2007; 22: 782-786 [Epub 2007 Apr 12]
  • 9 Thompson SC, Pitts JS, Schwankovsky L. Preferences for involvement in medical decision-making: situational and demographic influences. Patient Educ Couns 1993; 22: 133-140
  • 10 Henderson S. Power imbalance between nurses and patients: a potential inhibitor of partnership in care. J Clin Nurs 2003; 12: 501-508
  • 11 Mansell D, Poses RM, Kazis L et al. Clinical factors that influence patients’ desire for participation in decisions about illness. ArchIntern Med 2000; 160: 2991-2996
  • 12 Levinson W, Kao A, Kuby A et al. Not all patients want to participate in decision making: a national study of public preferences. J GenIntern Med 2005; 20: 531-535
  • 13 Arora NK, McHorney CA. Patient preferences for medical decision making: who really wants to participate?. Med Care 2000; 38: 335-341
  • 14 Ende J, Kazis L, Ash A et al. Measuring patients’ desire for autonomy: decision making and information-seeking preferences among medical patients. J Gen Intern Med 1989; 4: 23-30
  • 15 Willems S, De Maesschalck S, Deveugele M et al. Socio-economic status of the patient and doctor-patient communication: does it make a difference?. Patient Educ Couns 2005; 56: 139-146
  • 16 Ford S, Schofield T, Hope T. Barriers to the evidence-based patient choice (EBPC) consultation. Patient Educ Couns 2002; 47: 179-185
  • 17 Stevenson FA. General practitioners’ views on shared decision making: a qualitative analysis. Patient Educ Couns 2003; 50: 291-293
  • 18 van den Brink-Muinen A, van Dulmen SM, de Haes HC et al. Has patients’ involvement in the decision-making process changed over time?. Health Expect 2006; 9: 333-342
  • 19 Kravitz RL, Bell RA, Azari R et al. Direct observation of requests for clinical services in office practice: what do patients want and do they get it?. Arch Intern Med 2003; 163: 1673-1681
  • 20 Kaplan SH, Greenfield S, Gandek B et al. Characteristics of physicians with participatory decision-making styles. Ann Intern Med 1996; 124: 497-504
  • 21 Bettes BA, Coleman VH, Zinberg S et al. Cesarean delivery on maternal request: obstetrician-gynecologists’ knowledge, perception, and practice patterns. Obstet Gynecol 2007; 109: 57-66
  • 22 Maguire P, Fairbairn S, Fletcher C. Consultation skills of young doctors: benefits of feedback training in interviewing as students persist [published correction appears in Br Med J (Clin Res Ed) 1986; 293 (6538): 26]. Br Med J (Clin Res Ed) 1986; 292: 1573-1576
  • 23 Ottum A, Sethi AK, Jacobs EA et al. Do patients feel comfortable asking healthcare workers to wash their hands?. Infect Control Hosp Epidemiol 2012; 33: 1282-1284
  • 24 Longtin Y, Sax H, Allegranzi B et al. Patients' beliefs and perceptions of their participation to increase healthcare worker compliance with hand hygiene. Infect Control Hosp Epidemiol 2009; 30: 830-839
  • 25 Wu KS, Lee SS, Chen JK et al. Hand hygiene among patients: attitudes, perceptions, and willingness to participate. Am J Infect Control 2013; 41: 327-331
  • 26 Longtin Y, Farquet N, Gayet-Ageron A et al. Caregivers' perceptions of patients as reminders to improve hand hygiene. Arch Intern Med 2012; 172: 1516-1517
  • 27 Lent V, Eckstein EC, Cameron AS et al. Evaluation of patient participation in a patient empowerment initiative to improve hand hygiene practices in a Veterans Affairs medical center. Am J Infect Control 2009; 37: 117-120
  • 28 McGuckin M, Govednik J et al. Patient empowerment and hand hygiene 1997–2012. 2013; 84: 191-199