Abstract
This paper draws attention to the rapid increase in the number of published articles in medicine devoted to issues of empowerment. While our main aim is to identify populations to which empowerment has been applied, we have also offered a brief overview of the literature. A Medline search was used to identify all articles relating to empowerment published between 1980 and 2005. A total of 4496 articles were identified, but after the deletion of articles with non-human applications (n=409) and those published in languages other than English (n=145), a total of 3942 were reviewed. Based on this review, we present a taxonomy of the literature, based on the primary foci, including patients (n=1742, 44%), providers (n=1162, 29%), and society (n=1038, 27%). Over the study period, we document a rapid increase in the numbers of articles devoted to all three categories, but a significant increase in the proportion of papers devoted to patient empowerment (P < 0.0001). We conclude by juxtaposing some recent European health care policy reforms that have had mixed consequences for the empowerment of patients and argue for a more scientific approach to the study of empowerment.
[1] Deepa N., Empowerment, J. Ambulatory Care Manage., 2007, 30, 120–125 10.1097/01.JAC.0000264601.19629.5fSearch in Google Scholar PubMed
[2] Loukanova S., Molnar R., Bridges J., Promoting patient empowerment in the health care system: Highlighting the need for patient-centered drug policy, Exp. Rev. Pharm. Outcomes Res., 2007, 7, 281–289 10.1586/14737167.7.3.281Search in Google Scholar PubMed
[3] Chamberlin J., 1997. A working definition of empowerment, Psychiatr. Rehabil. J., 20, 43–46 Search in Google Scholar
[4] Perkins D.D., Speaking truth to power: empowerment ideology as social intervention and policy, Am. J. Comm. Psych., 1995, 23, 765–794 http://dx.doi.org/10.1007/BF0250699110.1007/BF02506991Search in Google Scholar PubMed
[5] Christensen M., Hewitt-Taylor J., Empowerment in nursing: paternalism or maternalism?, Br. J. Nurs., 2006, 15, 695–699 10.12968/bjon.2006.15.13.21478Search in Google Scholar PubMed
[6] Valentine F., Empowerment: family-centered care, Paediatr. Nurs., 1998, 10, 24–27 10.7748/paed.10.1.24.s26Search in Google Scholar
[7] Finfgeld D., Empowerment of individuals with enduring mental health problems. Results from concept analyses and qualitative investigations, Adv. Nurs. Sci., 2004, 27, 44–52 10.1097/00012272-200401000-00006Search in Google Scholar PubMed
[8] Man D.W., Lam C.S., Bard C.C., Development and application of the Family Empowerment Questionnaire in brain injury, Brain Inj. 2003, 17, 437–450 http://dx.doi.org/10.1080/026990503100007015210.1080/0269905031000070152Search in Google Scholar PubMed
[9] Anderson R., Funnel M., Fitzgerald J., Marrero D., The diabetes empowerment scale, Diabetes Care, 2000, 23, 739–743 http://dx.doi.org/10.2337/diacare.23.6.73910.2337/diacare.23.6.739Search in Google Scholar PubMed
[10] Rogers E.S., Chamberlin J., Ellison M.L., Crean T., A consumer-constructed scale to measure empowerment among users of mental health services, Psychiatr. Serv., 1997, 48, 1042–1047 10.1176/ps.48.8.1042Search in Google Scholar PubMed
[11] Calnan M., Gabe J., From consumerism to partnership? Britain’s National Health Service at the turn of the century, Int. J. Health Services, 2001, 31, 119–131 http://dx.doi.org/10.2190/7H2Q-NX5H-5CU9-MCK210.2190/7H2Q-NX5H-5CU9-MCK2Search in Google Scholar PubMed
[12] Bridges J.F., Hanson R., Little M., Flannigan A., Fairley M., Haywood L., Ethical relationship in paediatric emergency medicine: moving beyond the dyad, Emerg. Med. 2001, 13, 344–350 http://dx.doi.org/10.1046/j.1035-6851.2001.00238.x10.1046/j.1035-6851.2001.00238.xSearch in Google Scholar PubMed
[13] Gibson C.H., A concept analysis of empowerment, J. Adv. Nurs., 1991, 16, 354–361 http://dx.doi.org/10.1111/j.1365-2648.1991.tb01660.x10.1111/j.1365-2648.1991.tb01660.xSearch in Google Scholar PubMed
[14] Rappaport J., Studies in empowerment: Introduction to the issue, Prev. Hum. Serv., 1984, 3, 1–7 10.1300/J293v03n02_02Search in Google Scholar
[15] Rappaport J., Terms of empowerment/exemplars of prevention: Toward a theory for community psychology, Am. J. Community Psychol., 1987, 15, 121–148 http://dx.doi.org/10.1007/BF0091927510.1007/BF00919275Search in Google Scholar PubMed
[16] Zimmerman M.A., Taking aim on empowerment research: On the distinction between individual and psychological conceptions, Am. J. Community Psychol., 1990, 18, 169–177 http://dx.doi.org/10.1007/BF0092269510.1007/BF00922695Search in Google Scholar
[17] Zimmerman M.A., Psychological empowerment: Issues and illustrations, Am. J. Community Psychol., 1995, 23, 581–599 http://dx.doi.org/10.1007/BF0250698310.1007/BF02506983Search in Google Scholar PubMed
[18] Linhorst D.M., Hamilton G., Young E., Eckert A., Opportunities and barriers to empowering people with severe mental illness through participation in treatment planning, Soc. Work, 2002, 47, 425–434 10.1093/sw/47.4.425Search in Google Scholar PubMed
[19] Hibbard J.H., Stockard J., Mahoney E.R., Tusler M., Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients and consumers, Health Serv. Res., 2004, 39, 1005–1026 http://dx.doi.org/10.1111/j.1475-6773.2004.00269.x10.1111/j.1475-6773.2004.00269.xSearch in Google Scholar PubMed PubMed Central
[20] Bridges J.F., Jones C., Patient-based health technology assessment: a vision of the future, Int. J. Technol. Assess. Health Care, 2007, 23, 30–35 http://dx.doi.org/10.1017/S026646230705154910.1017/S0266462307051549Search in Google Scholar PubMed
[21] Beaulaurier R.L., Taylor S.H., Social work practice with people with disabilities in the era of disability rights, Soc. work in health care, 2001, 32, 67–91 http://dx.doi.org/10.1300/J010v32n04_0410.1300/J010v32n04_04Search in Google Scholar PubMed
[22] Newman J., Kuhlmann E., Consumers enter the political stage? The modernization of health care in Britain and Germany, J. Eur. Soc. Policy, 2007, 17, 99–111 http://dx.doi.org/10.1177/095892870707519110.1177/0958928707075191Search in Google Scholar
[23] Brown L.D., Eagan E., The paradoxical politics of provider. J. Health Polit. Policy Law, 2004, 29, 1045–1071 http://dx.doi.org/10.1215/03616878-29-6-104510.1215/03616878-29-6-1045Search in Google Scholar PubMed
[24] Rhodes P., Nocon A., Booth M., Chowdrey M.Y., Fabian A., Lambert N., et al., A service users’ research advisory group from the perspectives of both service users and researchers, Health Soc. Care Community, 2002, 10, 402–409 http://dx.doi.org/10.1046/j.1365-2524.2002.00376.x10.1046/j.1365-2524.2002.00376.xSearch in Google Scholar PubMed
[25] Querimit D., Connor L., Empowerment psychotherapy with adolescent females of color, J. Clin. Psychol., 2003, 59, 1215–1224 http://dx.doi.org/10.1002/jclp.1021210.1002/jclp.10212Search in Google Scholar PubMed
[26] Vogt F., Schwappach D., Bridges J.F., Accounting for tastes: A German perspective on the inclusion of patient preferences in health care, PharmacoEconomics, 2006, 24, 419–423 http://dx.doi.org/10.2165/00019053-200624050-0000110.2165/00019053-200624050-00001Search in Google Scholar PubMed
[27] Akkazieva B., Gulacsi L., Brandtmuller A., Pentekk M., Bridges J.F., Patients’ Preferences for Health Care System Reforms in Hungary: A Conjoint Analysis, Appl. Health Econ. Health Policy, 2006, 5, 189–198 http://dx.doi.org/10.2165/00148365-200605030-0000510.2165/00148365-200605030-00005Search in Google Scholar PubMed
[28] Coulter A., Jenkinson C., European patients’ views on the responsiveness of health systems and healthcare providers, Eur. J. Public Health, 2005, 15, 355–360 http://dx.doi.org/10.1093/eurpub/cki00410.1093/eurpub/cki004Search in Google Scholar PubMed
[29] Saltman R.B., Dimensions of citizen involvement in health care, Eurohealth, 2000, 6, 22–25. Search in Google Scholar
[30] Mierzewski P., Patients’ empowerment: the East side story, BMJ, 2005, 331, 226–227 http://dx.doi.org/10.1136/bmj.331.7510.22610.1136/bmj.331.7510.226Search in Google Scholar PubMed PubMed Central
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