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Am J Public Health. 2011 Feb;101(2):265-70. doi: 10.2105/AJPH.2009.189829. Epub 2010 Dec 16.

The shifting landscape of health care: toward a model of health care empowerment.

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1
Department of Medicine, School of Medicine, University of California, San Francisco, CA, USA. mallory.johnson@ucsf.edu

Abstract

In a rapidly changing world of health care information access and patients' rights, there is limited conceptual infrastructure available to understand how people approach and engage in treatment of medical conditions. The construct of health care empowerment is defined as the process and state of being engaged, informed, collaborative, committed, and tolerant of uncertainty regarding health care. I present a model in which health care empowerment is influenced by an interplay of cultural, social, and environmental factors; personal resources; and intrapersonal factors. The model offers a framework to understand patient and provider roles in facilitating health care empowerment and presents opportunities for investigation into the role of health care empowerment in multiple outcomes across populations and settings, including inquiries into the sources and consequences of health disparities.

PMID:
21164096
PMCID:
PMC3020216
DOI:
10.2105/AJPH.2009.189829
[Indexed for MEDLINE]
Free PMC Article
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